Individual provider Active NPI

Shelbie Leigh-Ann Kidd

  • Primary Care Nurse Practitioner
  • Mechanicsville, VA
National Provider Identifier
1043072283
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024189578 Issued in VA
Practice address
9376 Atlee Station Rd
Mechanicsville, VA 23116-2602
Phone
(804) 730-0990
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024189578 VA Primary

Addresses

Primary practice location

9376 Atlee Station Rd
Mechanicsville, VA 23116-2602

Mailing address

14221 Deep Wood Ave
Woodford, VA 22580-2874
Phone (804) 445-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409000901 VA Practitioner - Nurse Practitioner 1557709698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians IncGroup PAC ID 5597650804, 93 clinicians

Practice addresses (Care Compare)

9376 Atlee Station Rd
Mechanicsville, VA 23116-2602
Phone (804) 730-0990

Hospital & facility affiliations

  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians Inc CurrentSince Apr 1, 2024 Accepting new patients
Virginia Physicians, Inc Current Accepting new patients
Virginia Physician Inc Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Virginia Physicians, Inc. Family Medicine Past Accepting new patients

Locations

7255 Hanover Green Dr
Mechanicsvlle, VA 23111
Phone (804) 723-3766

9376 Atlee Station Rd
Mechanicsvlle, VA 23116
Phone (804) 730-0990

Interoperability endpoints

  • Direct secure messaging: shelbie.kidd@vpi.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1043072283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 DEEP WOOD AVE",
            "city": "WOODFORD",
            "state": "VA",
            "postal_code": "225802874",
            "telephone_number": "804-445-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9376 ATLEE STATION RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162602",
            "telephone_number": "804-730-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "SHELBIE",
        "middle_name": "LEIGH-ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024189578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.