Individual provider Active NPI

Karen A Hearst, MD

  • Family Medicine Physician
  • Colonial Heights, VA
National Provider Identifier
1912985250
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101046978 Issued in VA
Practice address
524 Southpark Blvd
Colonial Heights, VA 23834-3609
Phone
(804) 504-7980
Fax
(804) 554-5387
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101046978 VA Primary

Addresses

Primary practice location

524 Southpark Blvd
Colonial Heights, VA 23834-3609

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (804) 504-7980

Other practice location 1

7229 Forest Ave Ste 111
Richmond, VA 23226
Phone (804) 687-4793

Other practice location 2

541 S Sycamore St
Petersburg, VA 23803-5039
Phone (804) 957-9601

Other practice location 3

541 S Sycamore St
Petersburg, VA 23803-5039
Phone (804) 957-9601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000484 VA Practitioner - Family Practice 2567540099 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101046978VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Vpa PC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Jencare Neighborhood Medical South Park LLC CurrentSince Nov 21, 2021 Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC PastSince Sep 4, 2012 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980

7229 Forest Ave
Ste 111
Richmond, VA 23226
Phone (804) 687-4793

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1912985250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "804-504-7980",
            "fax_number": "804-554-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SOUTHPARK BLVD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343609",
            "telephone_number": "804-504-7980",
            "fax_number": "804-554-5387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7229 Forest Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23226",
            "country_code": "US",
            "telephone_number": "804-687-4793",
            "fax_number": "855-618-2623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 S Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238035039",
            "country_code": "US",
            "telephone_number": "804-957-9601",
            "fax_number": "804-957-9601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 S Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238035039",
            "country_code": "US",
            "telephone_number": "804-957-9601",
            "fax_number": "804-957-9601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEARST",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101046978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.