Individual provider Active NPI

Kathleen Rose Anderson, R.T.(R), VI

  • Vascular-Interventional Technology Radiologic Technologist
  • Fredericksburg, VA
National Provider Identifier
1871492116
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular-Interventional Technology Radiologic TechnologistTaxonomy code 2471V0106X
Practice address
10010 Peppermill CT
Fredericksburg, VA 22407-4385
Phone
(540) 834-6569
NPI assigned
Nov 3, 2026
Last updated
Nov 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular-Interventional Technology Radiologic Technologist 2471V0106X Primary
Radiography Radiologic Technologist 2471C3402X

Addresses

Primary practice location

10010 Peppermill CT
Fredericksburg, VA 22407-4385

Mailing address

10010 Peppermill CT
Fredericksburg, VA 22407-4385
Phone (540) 834-6569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1871492116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 PEPPERMILL CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074385",
            "telephone_number": "540-834-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 PEPPERMILL CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074385",
            "telephone_number": "540-834-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "credential": "R.T.(R), VI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-03",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.