Individual provider Active NPI

Catherine Harrington, NP

  • Pediatric Nurse Practitioner
  • Max Meadows, VA
National Provider Identifier
1962445627
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0017000629 Issued in VA
Practice address
791 Fort Chiswell Rd
Suite a
Max Meadows, VA 24360-4139
Phone
(276) 637-6641
Fax
(276) 637-6741
NPI assigned
Jun 13, 2006
Last updated
Jan 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0017000629 VA Primary

Addresses

Primary practice location

791 Fort Chiswell Rd
Suite a
Max Meadows, VA 24360-4139

Mailing address

791 Fort Chiswell Rd
Suite a
Max Meadows, VA 24360-4139
Phone (276) 637-6641

Other identifiers 2

IdentifierTypeStateIssuer
010189519MedicaidVA
VV8114AOtherMEDICARE PTAN

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
I20050801000841 VA Practitioner - Nurse Practitioner 1355379710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 W Ridge Rd
Wytheville, VA 24382-1044
Phone (276) 228-0200

791 Fort Chiswell Rd
Max Meadows, VA 24360-4139
Phone (276) 637-6641

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0017000629VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wythe County Physician Practices LLC CurrentSince Oct 19, 2012 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

791 Fort Chiswell Rd
Ste A
Max Meadows, VA 24360
Phone (267) 637-6641

342 Virginia Ave
Wytheville, VA 24382
Phone (276) 228-2191

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: catherine.harrington.1@19847.direct.athenahealth.com

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 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1962445627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 FORT CHISWELL RD",
            "address_2": "SUITE A",
            "city": "MAX MEADOWS",
            "state": "VA",
            "postal_code": "243604139",
            "telephone_number": "276-637-6641",
            "fax_number": "276-637-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 FORT CHISWELL RD",
            "address_2": "SUITE A",
            "city": "MAX MEADOWS",
            "state": "VA",
            "postal_code": "243604139",
            "telephone_number": "276-637-6641",
            "fax_number": "276-637-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "CATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0017000629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010189519",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VV8114A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Max Meadows, VA

Sources for this page

Verify at the official NPI Registry.