Zachary Wotherspoon, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024176306 Issued in VA

Practice address

20 Doc Stone Rd
Stafford, VA 22556-4515

Phone

(540) 602-7766

NPI assigned

Oct 25, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zacharywotherspoon@kidmed.allscriptsdirect.net

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.

• Kidmed Inc.

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1407013121
  NPD

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1821565185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WOODLOT CT",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548540",
            "telephone_number": "540-226-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DOC STONE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225564515",
            "telephone_number": "540-602-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOTHERSPOON",
        "first_name": "ZACHARY",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L Wolff, MA/AC, NCSP
• Womens Health and Surgery Center
• Alan Mach Wong, OD
• Lisa Helen Worcester, OTR/L
• Victoria Wortman
• Cheyenne Taylor Wray
• Adrienne Wright-Williams, NCC,LPC,LMFT
• David Wright
• Wytisha Nicole Wright
• Yafam, LLC

• Family Nurse Practitioner in Stafford, VA
• Providers in Stafford, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.