Individual provider Active NPI

Kathryn Llewellyn Golay, ARNP

  • Pediatric Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1790889327
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024169787 Issued in VA
Practice address
10410 Ridgefield Pkwy
Richmond, VA 23233
Phone
(804) 754-3776
Fax
(804) 754-0880
NPI assigned
Sep 12, 2006
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024169787 VA Primary

Addresses

Primary practice location

10410 Ridgefield Pkwy
Richmond, VA 23233

Mailing address

10410 Ridgefield Pkwy
Richmond, VA 23233-3500
Phone (804) 754-3776

Other practice location 1

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000

Other practice location 2

7000 Patterson Ave
Richmond, VA 23226-3629
Phone (804) 282-9706

Other practice location 3

14400 Sommerville Ct
Midlothian, VA 23113-6835
Phone (804) 379-5437

Other names 1

  • Kathryn Llewellyn Gannett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024169787VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Overton, Wiley, Kirchmier, Terry, & Rowe, P.C. PastSince Sep 8, 2019 Accepting new patients
St Josephs Specialty Services Inc Pediatrics Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1790889327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 RIDGEFIELD PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232333500",
            "telephone_number": "804-754-3776",
            "fax_number": "804-754-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 RIDGEFIELD PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23233",
            "telephone_number": "804-754-3776",
            "fax_number": "804-754-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Vale Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920845218",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 Patterson Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263629",
            "country_code": "US",
            "telephone_number": "804-282-9706",
            "fax_number": "804-288-8513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14400 Sommerville Ct",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231136835",
            "country_code": "US",
            "telephone_number": "804-379-5437",
            "fax_number": "804-379-5670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLAY",
        "first_name": "KATHRYN",
        "middle_name": "LLEWELLYN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024169787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "GANNETT",
            "middle_name": "LLEWELLYN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.