Keri Church, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0110006290 Issued in VA

Practice address

19455 Deerfield Ave Ste 311
Lansdowne, VA 20176-8102

Phone

(703) 723-9751

Fax

(703) 723-9752

NPI assigned

Jul 17, 2018

Last updated

Aug 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Loudoun LLCGroup PAC ID 0547607822, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Dermatology of Loudoun LLC

  • Dermatology Physician
  • Leesburg, VA
  • NPI 1942070958
  Medicare reassignment Care Compare group
• Dermatology Center of Loudoun, PLC

  • Dermatology Physician
  • Leesburg, VA
  • NPI 1699972406
  Medicare reassignment

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1851877336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE STE 311",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768102",
            "telephone_number": "703-723-9751",
            "fax_number": "703-723-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "KERI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0110006290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centers for Advanced Orthopaedics, LLC
• Mrunalini A Chakurkar, M.D.
• Banti D Chand, MD
• Christina Eunha Choi Chang, MD
• Hong Hanh T Chau, MD
• Anne Elizabeth Clark, RDN
• Kelly A Colingo, MD
• Marsha Tracelyn Edwards Colon, MSPT
• Commonwealth Neurosurgery
• Comprehensive Neuro Services PC

• Dermatology Physician in Lansdowne, VA
• Providers in Lansdowne, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.