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

Mrs. Kathleen H. Prussian, FNP-C

Individual provider Family Nurse Practitioner · NPI 1629136841

Mrs. Kathleen H. Prussian, FNP-C is a Nurse Practitioner in Alexandria, Virginia. Qualified in 2006, 20 years ago. Practices with Minuteclinic Diagnostic of Virginia LLC, a 141-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
20
Licensed in
VA
In the registry since
2006
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1636 Belle View Blvd
Alexandria, VA 22307-6531
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024168462 (VA)

Record details

NPI number1629136841
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Minuteclinic Diagnostic Of Virginia Llc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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