Individual ProviderJamie Michelle KirbyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2907(703) 295-9360PECOS EnrollmentBased on the most recent information from CMS, provider Jamie Michelle Kirby does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1598060121Provider TypeIndividualFull NameKirby, Jamie MichelleCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date1/12/2011Last Updated7/9/2014Contact InformationPractice LocationPractice Address3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2907Phone(703) 295-9360Fax(703) 295-9369Mailing LocationMailing AddressPO Box 37090, Baltimore, MD 21297-3090Phone(703) 295-9360Fax(703) 295-9369Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024171083VirginiaCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense4704253902MichiganProvider IdentifiersIDDescriptionIssuerIDPENDINGDescriptionMedicaidIssuerUnlistedVirginia