KATHLEEN ELIZABETH MARES CANP NPI 1720038862

NPI Information

  • NPI: 1720038862
  • Provider Name: KATHLEEN ELIZABETH MARES, CANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8109 HINSON FARM RD STE 504
    ALEXANDRIA, VA
    ZIP 22306
  • Phone: (703) 780-2800

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NPI Details

Kathleen Elizabeth Mares, CANP is an adult health nurse practitioner in Alexandria, VA. Kathleen Elizabeth Mares, CANP NPI is 1720038862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8109 HINSON FARM RD STE 504
ALEXANDRIA, VA
ZIP 22306-411
Phone: (703) 780-2800
Fax: (703) 780-0461

The NPI 1720038862 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 3/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health0024062894VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18304870OTHEREVERCARE
25374OTHERBCBS
3P87751MEDICARE UPIN
4003378S20MEDICARE PIN
50018OTHERBCBS-DC
61720038862OTHERBCBS-VA
7P00472516MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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