MRS. KATHLEEN SHEARER (NPI# 1568624054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568624054 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN SHEARER |
| Credential | ANP |
| Practice Address |
5895 Trinity Pkwy Suite 100 Centreville VA 20120-1995 |
| Practice Telephone | 7038022004 |
| Practice Fax Number | 7038022113 |
| Mailing Telephone | 7038022004 |
| Mailing Fax Number | 7038022113 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0017001302 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICENSED AUTHORIZATION TO PRESCRIBE | 0017001302 | 01 |
| VA | ADULT NURSE PRACTITIONER | 0024052576 | 01 |
| Street Address |
5895 TRINITY PKWY SUITE 100 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20120-1995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709265 | Alan R Levinstone | Internal Medicine | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1996 | 2005-06-02 |
| 1477870541 | Mariya Bourget | Internal Medicine | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2010-04-28 |
| 1811150899 | Susan S Fitzgerald | Nurse Practitioner | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2008-07-09 |
| 1063675205 | Pauline Abate | Nurse Practitioner | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2008-07-08 |
| 1629238597 | Loudoun Medical Group PC | Otolaryngology | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2008-06-13 |
| 1679755425 | Louise A Leblanc | Nurse Practitioner | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2007-12-04 |
| 1891813242 | Katherine Buran Fischer | Dentist | 5895 Trinity Pkwy, Suite 200, Centreville, VA 20120-1921 | 2007-03-26 |
| 1306964770 | Charles Curt Fischer | Dentist | 5895 Trinity Pkwy, Suite 200, Centreville, VA 20120-1921 | 2007-03-26 |
| 1912078619 | Clifton Centreville Medical Associates | Family Medicine | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675477 | Happy Healthy Healing Pllc | Counselor | 5675 Stone Rd., Suite 310, Centreville, VA 20120 | 2019-05-21 |
| 1346725322 | Margo Flores Dds Pllc | Dentist | 5703 Centre Square Drive, Centreville, VA 20120 | 2018-09-26 |
| 1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1922349513 | Kristina Kallini | Social Worker | 13525 Leland Rd., Centreville, VA 20120 | 2013-03-07 |
| 1225209018 | About Care Obgyn Associates PC | Obstetrics & Gynecology | 6134 Redwood Square Center, Unit 101, Centreville, VA 20120 | 2008-03-19 |
| 1649486747 | Dulles Dental Group LLC | Dentist | 5103 Westfields Blvd, Centreville, VA 20120 | 2007-05-15 |
| 1356482657 | Kevin Michael Skinner | Dentist | 5651 Stone Rd, Centreville, VA 20120 | 2007-02-09 |
| 1952452856 | Jose Rodrigo Charcon | Physical Therapy Assistant | 5719 Centre Square Dr, Centreville, VA 20120 | 2007-01-16 |
| 1033122981 | Charles & Katherine Fischer Dds PC | Dentist | 5895 Trinity Parkway, Suite 200, Centreville, VA 20120 | 2006-08-14 |
| Find all providers in zip 20120 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184806747 | Field Memorial Community Hospital | Nurse Practitioner | 143 West Howard St, Centreville, MS 39631 | 2007-12-05 |
| 1528153293 | Mary Katherine Rogowski | Nurse Practitioner | 5715 Centre Square Drive, Centreville- Chantilly Family Practice, Centreville, VA 20120-1916 | 2006-10-04 |
| 1831797513 | Shaunda Barnes Porter | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-10-14 |
| 1912512435 | Lashandra Walter | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-09-11 |
| 1053890525 | Olivia Calzada | Nurse Practitioner | 6201 Centreville Rd Ste 200, Centreville, VA 20121-2626 | 2018-08-07 |
| 1336695592 | Kristina Jung | Nurse Practitioner | 5652 Pickwick Rd, Centreville, VA 20120-2057 | 2016-08-28 |
| 1366524365 | Michell M Jordan | Nurse Practitioner | 2540 Centreville Rd, Centreville, MD 21617 | 2006-10-19 |
| 1881781805 | Bobbi Graef | Nurse Practitioner | 206 N Commerce St, Centreville, MD 21617-1049 | 2006-10-10 |
| 1184608986 | Bonnie J Summers | Nurse Practitioner | 6000 Bond Ave, Centreville, IL 62207-2328 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445846 | Stephanie Leann Ball | Nurse Practitioner | 655 Belfast School Rd, Cedar Bluff, VA 24609-8217 | 2020-10-24 |
| 1548867526 | Pamela Jean Scholl | Nurse Practitioner | 3704 Aquia Dr, Stafford, VA 22554-2705 | 2020-10-02 |
| 1356948483 | Dawn Aimee Fisher | Nurse Practitioner | 2187 Hunters Lodge Rd, Troy, VA 22974-4344 | 2020-10-01 |
| 1952918880 | Amesha Renee Custis | Nurse Practitioner | 2647 Jason Ave, Norfolk, VA 23509-1073 | 2020-09-24 |
| 1790390938 | Premier Healthcare Service, LLC | Nurse Practitioner | 1015 Eden Way N Ste A, Chesapeake, VA 23320-2787 | 2020-09-14 |
| 1871108233 | Ricky Brockington | Nurse Practitioner | 19124 Lakeside Dr, Courtland, VA 23837-2634 | 2020-09-12 |
| 1578178422 | Behishta Ishanzai | Nurse Practitioner | 7500 Geoint Dr, Springfield, VA 22150-7500 | 2020-09-08 |
| 1467066795 | Colleen Marie Gleason | Nurse Practitioner | 2522 S Arlington Mill Dr Apt D, Arlington, VA 22206-4033 | 2020-09-03 |
| 1639782659 | Wendy Renee Easter | Nurse Practitioner | 20720 Cross Timber Dr, Ashburn, VA 20147-4470 | 2020-08-28 |
| 1558974105 | Crystal Hermano | Nurse Practitioner | 5522 Swift Current Ct, Burke, VA 22015-1851 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 20120 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.