NPIMap

Individual provider Active NPI

Heather E Kavanagh, FNP-BC

  • Family Nurse Practitioner
  • Purcellville, VA
National Provider Identifier
1912285628
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169433 Issued in VA
Practice address
711C E Main St
Purcellville, VA 20132-3178
Phone
(540) 338-7116
Fax
(540) 338-6671
NPI assigned
Jul 29, 2011
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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 0024169433 VA Primary

Addresses

Primary practice location

711C E Main St
Purcellville, VA 20132-3178

Mailing address

PO Box 37189
Baltimore, MD 21297-3189
Phone (571) 423-5699

Other identifiers 1

IdentifierTypeStateIssuer
1912285628MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111110000166 VA Practitioner - Nurse Practitioner 2264606151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

711 C E Main St
Purcellville, VA 20132-3178
Phone (540) 338-7116

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC CurrentSince Apr 11, 2022 Accepting new patients
Inova Health Care Services CurrentSince May 1, 2013 Accepting new patients
Inova Health Care Services CurrentSince May 1, 2013 Accepting new patients
Inova Health Care Services Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inova Physician Partners, Inc. - Specialists PastSince May 8, 2022 Accepting new patients

Locations

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

711C E Main St
Purcellville, VA 20132
Phone (540) 338-4995

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: hkavanagh57864@soc.inova.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1912285628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37189",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973189",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711C E MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323178",
            "telephone_number": "540-338-7116",
            "fax_number": "540-338-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "HEATHER",
        "middle_name": "E",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912285628",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.