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MS. KATHLEEN T MOFFITT CERTIFIED NURSE MIDW
NPI 1831254093
Nurse Practitioner in Manassas, VA

Active since December 27, 2006
11730 SUDLEY MANOR DRIVE, MANASSAS, VA 20109(703) 257-3001(703) 257-3133 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kathleen T Moffitt Certified Nurse Midw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHLEEN T MOFFITT CERTIFIED NURSE MIDW (NPI 1831254093) is an individual nurse practitioner in Manassas, Virginia, licensed in Virginia (0024073304) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1831254093
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KATHLEEN T MOFFITTCredential: CERTIFIED NURSE MIDW
Location Address11730 SUDLEY MANOR DRIVEManassas, VA 20109-2843
Mailing Address700 24th St, Kenner Clinic At Fort LeeFort Lee, VA 23801-1716 · (804) 734-9942 · Fax (877) 874-1008
Phone(703) 257-3001
Fax(703) 257-3133
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateMay 16, 2011
✔ NPI 1831254093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in VA · 0024073304✔ Licensed in VA · 0001073304
Definition
(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.
11730 SUDLEY MANOR DRIVE, Manassas, VA 20109
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Other Identifiers 2

Medicare ID-Type Unspecified004629K32
Medicare UPINQ17345

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANN L KOMELASKY CRNP
Nurse Practitioner
11730 SUDLEY MANOR DRIVE
MANASSAS, VA 20109
Prince William County (703) 257-3001
DR. EVELYN ANNA RUELAZ M.D.
Obstetrics & Gynecology
11730 SUDLEY MANOR DRIVE
MANASSAS, VA 20109
Prince William County (703) 257-3001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Moffitt's NPI number?

The NPI number for Kathleen Moffitt is 1831254093. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Kathleen Moffitt located?

Kathleen Moffitt practices at 11730 Sudley Manor Drive, Manassas, VA 20109. The listed phone number is (703) 257-3001.

What is Kathleen Moffitt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Moffitt was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.