Individual provider Active NPI

Kaitlyn Bethune, FNP-BC

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1831579655
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172624 Issued in VA
Practice address
3803 Fairfax Dr
Suite 400
Arlington, VA 22203-5860
Phone
(703) 708-4380
NPI assigned
Jun 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172624 VA Primary

Addresses

Primary practice location

3803 Fairfax Dr
Suite 400
Arlington, VA 22203-5860

Mailing address

3803 Fairfax Dr
Suite 400
Arlington, VA 22203-5860
Phone (703) 708-4380

Other names 1

  • Kaitlyn Juskiewicz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171115002257 VA Practitioner - Nurse Practitioner 2860707890 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172624VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saunders & Peavy LLC CurrentSince Sep 2, 2021 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

182 Neff Ave
Ste W12
Harrisonburg, VA 22801
Phone (540) 432-9996

343 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 432-9996

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1831579655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 FAIRFAX DR",
            "address_2": "SUITE 400",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222035860",
            "telephone_number": "703-708-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 FAIRFAX DR",
            "address_2": "SUITE 400",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222035860",
            "telephone_number": "703-708-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHUNE",
        "first_name": "KAITLYN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-06",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "JUSKIEWICZ",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.