Active NPI
Racheal Naamua Odei-Kwatia, NP
- Acute Care Nurse Practitioner
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024188261
- Practice address
- 1101 Sam Perry Blvd Ste 207
Fredericksburg, VA 22401-4465 - Phone
- (540) 741-4350
- NPI assigned
- Sep 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Fredericksbrg, VA
- NPI 1225624679
VA
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
Hospital
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
Hospital
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1376876664
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Intensivist Services PCVirginia Pulmonology and Critical Care LLC
Practice addresses (Care Compare)
2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-1000
4604 Spotsylvania Pkwy
Suite 340
Fredericksburg, VA 22408-7767
Phone (540) 200-8272
Hospital & facility affiliations
- Sentara Northern Virginia Medical Center
- Spotsylvania Regional Medical Center
- Mary Washington Hospital
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231031002114 | VA | Practitioner - Nurse Practitioner | 3375999170 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Pulmonology and Critical Care LLC | Current | Accepting new patients | |
| Mary Washington Healthcare Providers LLC | Current | Accepting new patients | |
| Southeastern Intensivist Services PC | Current | Accepting new patients |
Locations
4604 Spotsylvania Pkwy
Ste 340
Fredericksburg, VA 22408
Phone (540) 200-8272
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000
1048 Terrace Dr
Marion, VA 24354
Phone (276) 477-4246
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024188261 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1101 Sam Perry Blvd Ste 207
Fredericksburg, VA 22401-4465
Mailing address
6 Calvert CT
Fredericksburg, VA 22405-1839
Phone (571) 409-8262
Other names 1
NPPES NPI Registry- Mrs. Racheal Naamua Odei Kwatia
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2023.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1962281675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CALVERT CT",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224051839",
"telephone_number": "571-409-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SAM PERRY BLVD STE 207",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014465",
"telephone_number": "540-741-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEI-KWATIA",
"first_name": "RACHEAL",
"middle_name": "NAAMUA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-22",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024188261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEAL",
"last_name": "ODEI KWATIA",
"middle_name": "NAAMUA",
"prefix": "MRS.",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}
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 Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.