Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Ann Gorham, CRNP-A

Individual provider Adult Health Nurse Practitioner · NPI 1386895860

Kathleen Ann Gorham, CRNP-A is a Nurse Practitioner in Stafford, Virginia. Qualified in 1996, 30 years ago. Practices with Physical Medicine Associates Ltd, a 74-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
30
Licensed in
VA
In the registry since
2008

Practice location Address checks out

450 Garrisonville Rd Ste 109
Stafford, VA 22554-1532
Phone: (703) 522-2727
Fax: (703) 542-3753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 0024171732 (VA)

Record details

NPI number1386895860
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-A
Sole proprietorNo
NPI enumeratedOctober 2, 2008
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Physical Medicine Associates Ltd — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stafford