NPIMap

Childrens Hospital of the Kings Daughters Inc

Organization Active NPI Children's Hospital · Norfolk, VA

NPI 1912919481 · NPPES record last updated Nov 21, 2024

Key facts

NPI
1912919481
Entity type
Organization (NPI type 2)
Primary specialty
Children's Hospital 282NC2000X
License
H1843 (VA)
Legal business name
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC
Practice address
601 Childrens LN
Norfolk, VA 23507-1910
Phone
(757) 668-7017
Fax
(757) 668-8929
NPI assigned
Aug 13, 2006
Organization subpart
No

Authorized official

Name
Kathryn J Abshire
Title
Senior VP/Cfo
Phone
(757) 668-8565

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 19

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

Affiliated clinicians 21

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Hospital

Listed as
Childrens Hospital of the Kings Daughters Inc CCN 493301
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Hospital certification: CCN 493301

Legal name
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC
Doing business as
CHKD
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Apr 1, 1986
Last certification
Mar 23, 2018
Beds
206
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
May 5, 1914 in VA
Enrollment address
601 Childrens LN
Norfolk, VA 23507-1910
Main/Primary Hospital Location
Hospital subgroups
Children’s, Other

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathryn Abshire
Individual 		Corporate Officer
Cfo		 Jul 4, 2022
Scott Nottingham
Individual 		Corporate Director
Board Member		 Jul 1, 2020
Edward Whitmore
Individual 		Corporate Director
Board Member		 Jul 1, 2019
Kim George
Individual 		Corporate Director
Board Member		 Jul 1, 2017
Carl R St Remy
Individual 		Corporate Director
Board Member		 Jul 1, 2022
Kevin Murphy
Individual 		Corporate Director
Board Member		 Jul 1, 2019
Amy McClanan
Individual 		W-2 Managing Employee
Patient Account Director		 Mar 15, 2023
Elanor B Smith
Individual 		Corporate Director
Board Member		 Jul 1, 2018
Owen Griffin
Individual 		Corporate Director
Board Member		 Jul 1, 2020
Miles B Leon
Individual 		Corporate Director
Board Member		 Jul 1, 2015
Robert J Fulton
Individual 		Corporate Director
Board Member		 Jul 1, 2015
Akhil Jain
Individual 		Corporate Director
Board Member		 Jul 1, 2017
Brian Skinner
Individual 		Corporate Director
Board Member		 Nov 23, 2011
George Benjamin Clarke
Individual 		Corporate Director
Board Member		 Jul 1, 2024
Katherine Knaus
Individual 		Corporate Director
Board Member		 Jul 1, 2023
Childrens Health System Inc
Organization · Norfolk, VA
Non-profit 		Other May 21, 1984
Amy Jo Sampson
Individual 		Corporate Officer
President/Ceo		 Jun 21, 2023
Corporate Director
Board Member		 Jun 21, 2023
Julie Beck
Individual 		Corporate Director
Board Member		 Jul 1, 2021
Kieran Poulos
Individual 		Corporate Director Jul 1, 2020
Susan Snodgrass Wynne
Individual 		Corporate Director
Board Member		 Jul 1, 2024
Martha R Colen
Individual 		Corporate Director
Board Member		 Jul 1, 2019
Katrina M Lesher
Individual 		Corporate Director
Board Member		 Jul 1, 2023
John Lawson
Individual 		Corporate Director
Board Member		 Nov 23, 2011

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120215000498 VA Part a Provider - Hospital 0941265284 1 other NPI on this enrollment
Practice locations: Chesapeake, VA; Virginia Beach, VA; Suffolk, VA; Norfolk, VA; Newport News, VA

National Provider Directory

Tax ID family
Childrens Hosp KD Inc (20 organizations share this tax ID)

Locations

680 Oyster Point Rd
Ste 105
Newport News, VA 23606
Phone (757) 668-4851

400 Gresham Dr
Fl 5
Norfolk, VA 23507

850 Southampton Ave
Fl 2
Norfolk, VA 23510

601 Childrens Ln
Fl 1
Norfolk, VA 23507
Phone (757) 668-9222

400 Gresham Dr
Ste 908
Norfolk, VA 23507

3960 Virginia Beach Blvd
Ste 1
Virginia Beach, VA 23452

4505 Columbus St
Ste 205
Virginia Beach, VA 23462

3930 Virginia BCH Blvd
Virginia Beach, VA 23452

1924 Landstown Centre Way
Fl 3
Virginia Beach, VA 23456

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Urgent Care Clinic/Center 261QU0200X
General Acute Care Hospital 282N00000X H1843 VA
Children's Hospital 282NC2000X H1843 VA Yes
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

601 Childrens LN
Norfolk, VA 23507-1910

Mailing address

601 Childrens LN
Norfolk, VA 23507-1910
Phone (757) 668-7017

Other identifiers

IdentifierTypeStateIssuer
000082OtherVAANTHEM BC BS
116838OtherVAANTHEM TRANSPORT
4903301MedicaidNC
004930177MedicaidVA
236297OtherVAMDIPA
001AYOtherNCSTATE OF NC TEACHERS & ST
004900961MedicaidVA
0000620505MedicaidDE
169288OtherVAANTHEM REFERENCE LAB
236297OtherVAALLIANCE
009013857MedicaidVA
0096618OtherVAAETNA
0175123000MedicaidWV
184601OtherVAANTHEM OYSTER POINT
236297OtherVAOPTIMUM CHOICE
4900961OtherVAVIRGINIA PREMIER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 21, 2024.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1912919481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910",
            "telephone_number": "757-668-7017",
            "fax_number": "757-668-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910",
            "telephone_number": "757-668-7017",
            "fax_number": "757-668-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "ABSHIRE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR VP/CFO",
        "authorized_official_telephone_number": "757-668-8565"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1843",
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "VA",
            "license": "H1843",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000082",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM TRANSPORT",
            "identifier": "116838",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4903301",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004930177",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "236297",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NC TEACHERS & ST",
            "identifier": "001AY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004900961",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000620505",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM REFERENCE LAB",
            "identifier": "169288",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "236297",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009013857",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0096618",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175123000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OYSTER POINT",
            "identifier": "184601",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "236297",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER",
            "identifier": "4900961",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

All providers in Norfolk, VA · Children's Hospital in Virginia

Sources for this page

Verify at the official NPI Registry.