Individual provider Active NPI

Danielle Anderson Kelly

  • Pathology Specialist/Technologist
  • Newport News, VA
National Provider Identifier
1013884063
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pathology Specialist/TechnologistTaxonomy code 246Q00000X
Practice address
606 Denbigh Blvd Ste 301
Newport News, VA 23608-4486
Phone
(757) 302-7774
Fax
(855) 498-1291
NPI assigned
Oct 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Pathology Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246Q00000X Primary

Addresses

Primary practice location

606 Denbigh Blvd Ste 301
Newport News, VA 23608-4486

Mailing address

111 Zenith Loop
Newport News, VA 23601-1277
Phone (757) 302-7774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1013884063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ZENITH LOOP",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011277",
            "telephone_number": "757-302-7774",
            "fax_number": "855-498-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 DENBIGH BLVD STE 301",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084486",
            "telephone_number": "757-302-7774",
            "fax_number": "855-498-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON KELLY",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.