Organization Active NPI

Case Management Associates LLC

  • Clinical Nurse Specialist
  • Petersburg, VA
National Provider Identifier
1922468859
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
0001146276 Issued in VA
Legal business name
CASE MANAGEMENT ASSOCIATES LLC
Practice address
700 S Sycamore St
Suite 1
Petersburg, VA 23803-5802
Phone
(804) 324-5051
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Mrs. Kimberly Ann Ketter, NURSE PRACTITIONER
Title
Nurse Practitioner
Phone
(804) 324-5051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364S00000X 0001146276 VA Primary

Addresses

Primary practice location

700 S Sycamore St
Suite 1
Petersburg, VA 23803-5802

Mailing address

700 S Sycamore St
Suite 1
Petersburg, VA 23803-5802
Phone (804) 324-5051

National Provider Directory

National Provider Directory
Tax ID family
Case Management Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1922468859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S SYCAMORE ST",
            "address_2": "SUITE 1",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035802",
            "telephone_number": "804-324-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S SYCAMORE ST",
            "address_2": "SUITE 1",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035802",
            "telephone_number": "804-324-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASE MANAGEMENT ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "KETTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "804-324-5051",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "VA",
            "license": "0001146276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.