Individual provider Active NPI

Kathleen Fuller, FNP-BC

  • Family Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1871092585
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175814 Issued in VA
Practice address
700 S Washington St Ste 330
Alexandria, VA 22314-4252
Phone
(703) 528-8260
NPI assigned
Feb 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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 0024175814 VA Primary

Addresses

Primary practice location

700 S Washington St Ste 330
Alexandria, VA 22314-4252

Mailing address

700 S Washington St Ste 330
Alexandria, VA 22314-4252
Phone (703) 528-8260

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfuller32626@direct.virginiahospitalcenter.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20180327002485 DC Practitioner - Nurse Practitioner 4688936818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

700 S Washington St
300 VHC Physician Group OB/GYN
Alexandria, VA 22314-4287
Phone (703) 940-3364

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
74.39
Promoting interoperability
87
Improvement activities
40
Cost
70.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024175814VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Apr 8, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients

Locations

700 S Washington St
Ste 300
Alexandria, VA 22314
Phone (703) 528-8260

700 S Washington St
Ste 330
Alexandria, VA 22314
Phone (703) 528-8260

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1715 N George Mason Dr
Ste 409
Arlington, VA 22205
Phone (703) 243-5960

6862 Elm St
Ste 500
Mc Lean, VA 22101
Phone (703) 992-0649

6862 Elm St
Ste 600
McLean, VA 22101
Phone (703) 992-0649

Interoperability endpoints

  • Direct secure messaging: kfuller32626@direct.virginiahospitalcenter.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1871092585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S WASHINGTON ST STE 330",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144252",
            "telephone_number": "703-528-8260",
            "fax_number": "703-528-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S WASHINGTON ST STE 330",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144252",
            "telephone_number": "703-528-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfuller32626@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "700 S Washington St Ste 330",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223144252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.