Active NPI
Kathy Harper-Patterson
- Home Health Agency
- Ridgeway, VA
National Provider Identifier
1801558283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 11092610
- Practice address
- 3600 Chestnut Knob Rd
Ridgeway, VA 24148-4773 - Phone
- (276) 252-7194
- NPI assigned
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 11092610 | VA | Primary |
Addresses
Primary practice location
3600 Chestnut Knob Rd
Ridgeway, VA 24148-4773
Mailing address
3600 Chestnut Knob Rd
Ridgeway, VA 24148-4773
Phone (276) 252-7194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 852435815 | Medicaid | VA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11092610 | VA | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1801558283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 CHESTNUT KNOB RD",
"city": "RIDGEWAY",
"state": "VA",
"postal_code": "241484773",
"telephone_number": "276-252-7194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 CHESTNUT KNOB RD",
"city": "RIDGEWAY",
"state": "VA",
"postal_code": "241484773",
"telephone_number": "276-252-7194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER-PATTERSON",
"first_name": "KATHY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "11092610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "852435815",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgeway, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.