Individual provider Active NPI

Racheal Naamua Odei-Kwatia, NP

  • Acute Care Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1962281675
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024188261 Issued in VA
Practice address
1101 Sam Perry Blvd Ste 207
Fredericksburg, VA 22401-4465
Phone
(540) 741-4350
NPI assigned
Sep 22, 2023
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024188261 VA Primary

Addresses

Primary 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

  • Mrs. Racheal Naamua Odei Kwatia Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031002114 VA Practitioner - Nurse Practitioner 3375999170 Reassigns benefits to 3 organizations

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 PCGroup PAC ID 9335152107, 234 clinicians
Virginia Pulmonology and Critical Care LLCGroup PAC ID 4183031677, 6 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Pulmonology and Critical Care LLC CurrentSince Dec 4, 2023 Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince Nov 15, 2023 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Oct 23, 2025 Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

4604 Spotsylvania Pkwy
Ste 340
Fredericksburg, VA 22408
Phone (540) 200-8272

1048 Terrace Dr
Marion, VA 24354
Phone (276) 228-2212

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.