Individual provider Active NPI

Virginia Elaine Kwitkowski, ACNP-BC

  • Acute Care Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1841549870
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R111293 Issued in MD
Practice address
10 Center Dr
RM 12N226
Bethesda, MD 20892-0001
Phone
(301) 796-2318
Fax
(301) 796-9845
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R111293 MD Primary

Addresses

Primary practice location

10 Center Dr
RM 12N226
Bethesda, MD 20892-0001

Mailing address

10903 New Hampshire
BLD. 22, RM 2161
Silver Spring, MD 20993-0002
Phone (301) 796-2318

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

LicenseStateTypeSpecialty
R111293MDMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1841549870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 NEW HAMPSHIRE",
            "address_2": "BLD. 22, RM 2161",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209930002",
            "telephone_number": "301-796-2318",
            "fax_number": "301-796-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR",
            "address_2": "RM 12N226",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-796-2318",
            "fax_number": "301-796-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWITKOWSKI",
        "first_name": "VIRGINIA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R111293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.