Active NPI
Mary Katherine Cothran, RN
- Administrator Registered Nurse
- West Point, VA
National Provider Identifier
1821619503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 0001273728
- Practice address
- 2400 Oak LN
West Point, VA 23181-9300 - Phone
- (804) 513-0040
- NPI assigned
- May 4, 2020
- Last updated
- May 4, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001273728 | VA | |
| Administrator Registered Nurse | 163WA2000X | 0001273728 | VA | Primary |
Addresses
Primary practice location
2400 Oak LN
West Point, VA 23181-9300
Mailing address
2400 Oak LN
West Point, VA 23181-9300
Phone (804) 513-0040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001273728 | Other | VA | REGISTERED NURSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | WestPoint | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 0001273728 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1821619503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 OAK LN",
"city": "WEST POINT",
"state": "VA",
"postal_code": "231819300",
"telephone_number": "804-513-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 OAK LN",
"city": "WEST POINT",
"state": "VA",
"postal_code": "231819300",
"telephone_number": "804-513-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTHRAN",
"first_name": "MARY",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-04",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001273728",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "VA",
"license": "0001273728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "0001273728",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "WestPoint",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "West Point",
"address_1": "2400 Oak Ln",
"city": "West Point",
"state": "VA",
"country_code": "US",
"postal_code": "231819300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in West Point, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.