Kimberly A. McCuen, RN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0017136898 Issued in VA

Practice address

10527 Braddock Rd
Fairfax, VA 22032-2247

Phone

(703) 425-3300

Fax

(703) 372-5244

NPI assigned

Sep 12, 2007

Last updated

Sep 5, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.mccuen@tpgp.eclinicaldirectplus.com
• Direct secure messaging: kimberlymccuen@tpedg.allscriptsdirect.net

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.

• The Pediatric Group, PC

  • Pediatric Adolescent Medicine Physician
  • Alexandria, VA
  • NPI 1922162205
  NPD
• The Pediatric Group, PC

  • Pediatric Registered Nurse
  • Fairfax, VA
  • NPI 1851515175
  NPD (past)
• Trusted Doctors LLC

  • Pediatrics Physician
  • Fairfax, VA
  • NPI 1083793525
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1982899936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015C MANCHESTER BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22310",
            "telephone_number": "703-971-6900",
            "fax_number": "703-372-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10527 BRADDOCK RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322247",
            "telephone_number": "703-425-3300",
            "fax_number": "703-372-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUEN",
        "first_name": "KIMBERLY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0017136898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta Leigh McCormick-Connors, OTR/L
• Amber McCormick, PA-C
• Mary E McCoy
• Leslie McCrea
• Jennifer McCue
• Tosha Renee McCullough, MSW
• Betty McCurdy, LPC
• Lauren Ginna D McCutchan
• Patricia A McDade, CPNP
• Carolyn Grace McDaniel, LPC

• Pediatric Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.