Active NPI
Katharine Ann Gracely-Kilgore, CPNP
- Pediatric Nurse Practitioner
- Richmond, VA
National Provider Identifier
1861586315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024063636
- Practice address
- 5855 Bremo Rd
Suite 302
Richmond, VA 23226-1930 - Phone
- (804) 282-4207
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024063636 | VA | Primary |
Addresses
Primary practice location
5855 Bremo Rd
Suite 302
Richmond, VA 23226-1930
Mailing address
5855 Bremo Rd
Suite 302
Richmond, VA 23226-1930
Phone (804) 282-4207
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
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024063636 | VA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1861586315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 BREMO RD",
"address_2": "SUITE 302",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261930",
"telephone_number": "804-282-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5855 BREMO RD",
"address_2": "SUITE 302",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261930",
"telephone_number": "804-282-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACELY-KILGORE",
"first_name": "KATHARINE",
"middle_name": "ANN",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024063636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.