Individual provider Active NPI

Kathryn Margaret Kearney, PA-C

  • Physician Assistant
  • Arlington, VA
National Provider Identifier
1780168294
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007989 Issued in VA
Practice address
1625 N George Mason Dr Ste 288
Arlington, VA 22205-3683
Phone
(703) 558-6491
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110007989 VA Primary

Addresses

Primary practice location

1625 N George Mason Dr Ste 288
Arlington, VA 22205-3683

Mailing address

3301 Spring LN
Falls Church, VA 22041-2609
Phone (540) 536-5100

Other practice location 1

1870 Amherst St Ste 310
Winchester, VA 22601-6254
Phone (540) 536-6721

Other practice location 2

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kkearney936251@soc.inova.org
Direct Messaging Address kkearney936251@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210730000739 VA Practitioner - Physician Assistant 3678976495 Reassigns benefits to 2 organizations
I20250214001294 DC Practitioner - Physician Assistant 3678976495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Hospital Center Physician Group LLC 350 clinicians

Practice addresses (Care Compare)

1625 N George Mason Dr
425 VHC Phy GRP OB Hospitalists
Arlington, VA 22205-3686
Phone (703) 717-4502

1701 N George Mason Dr
Arlington, VA 22205-3698

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110007989VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Mar 17, 2025 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Mar 17, 2025 Accepting new patients
Winchester Medical Center CurrentSince Aug 23, 2021 Accepting new patients
Winchester Medical Center CurrentSince Aug 23, 2021 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Valley Physician Enterprise, Inc Past Accepting new patients

Locations

1625 N George Mason Dr
Ste 288
Arlington, VA 22205
Phone (703) 558-6194

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

220 Campus Blvd
Ste 100
Winchester, VA 22601

1880 Amherst St
Ste 310
Winchester, VA 22601
Phone (540) 536-6721

1870 Amherst St
Ste 310
Winchester, VA 22601
Phone (540) 536-6721

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Interoperability endpoints

  • Direct secure messaging: kkearney936251@soc.inova.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1780168294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SPRING LN",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412609",
            "telephone_number": "540-536-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR STE 288",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053683",
            "telephone_number": "703-558-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 Amherst St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226016254",
            "country_code": "US",
            "telephone_number": "540-536-6721",
            "fax_number": "540-536-6724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "KATHRYN",
        "middle_name": "MARGARET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkearney936251@soc.inova.org",
            "affiliation": "N",
            "address_1": "1870 Amherst St Ste 310",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226016254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkearney936251@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.