Active NPI
Kenneth Allen Page, RN
- Registered Nurse
- Portsmouth, VA
National Provider Identifier
1811367477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001175105
- Practice address
- 850 Crawford Pkwy
Apartmet 1311
Portsmouth, VA 23704-2304 - Phone
- (757) 576-1764
- NPI assigned
- Sep 25, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001175105 | VA | Primary |
Addresses
Primary practice location
850 Crawford Pkwy
Apartmet 1311
Portsmouth, VA 23704-2304
Mailing address
850 Crawford Pkwy
Apartmet 1311
Portsmouth, VA 23704-2304
Phone (757) 576-1764
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001175105 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1811367477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 CRAWFORD PKWY",
"address_2": "APARTMET 1311",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237042304",
"telephone_number": "757-576-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 CRAWFORD PKWY",
"address_2": "APARTMET 1311",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237042304",
"telephone_number": "757-576-1764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "KENNETH",
"middle_name": "ALLEN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-25",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001175105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.