Individual provider Active NPI

Shauntell Reed Kline, NP

  • Family Nurse Practitioner
  • Lynchburg, VA
National Provider Identifier
1063802312
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
00012550801 Issued in VA
Practice address
2019 Tate Springs Rd
Lynchburg, VA 24501-1131
Phone
(434) 846-7374
Fax
(434) 846-1910
NPI assigned
Jan 26, 2015
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 00012550801 VA Primary

Addresses

Primary practice location

2019 Tate Springs Rd
Lynchburg, VA 24501-1131

Mailing address

2019 Tate Springs Rd
Lynchburg, VA 24501-1131
Phone (434) 846-7374

Other identifiers 1

IdentifierTypeStateIssuer
1063802312MedicaidVA

Other names 1

  • Shauntell Reed Former name

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
I20150330000482 VA Practitioner - Nurse Practitioner 4880911932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1175 Corporate Park Dr
Forest, VA 24551-2238
Phone (434) 525-6964

131 Jones St
Appomattox, VA 24522-9830
Phone (434) 352-8235

14005 Wards Rd
Suite a
Lynchburg, VA 24501-7127
Phone (434) 239-0132

2019 Tate Springs Rd
Lynchburg, VA 24501-1131
Phone (434) 846-7374

2215 Landover PL
Lynchburg, VA 24501-2115
Phone (434) 947-3944

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
00012550801VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 3, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 3, 2016 Accepting new patients
Pulmonologists, PC Past Accepting new patients

Locations

131 Jones St
Appomattox, VA 24522
Phone (434) 332-7367

1088 London Links Dr
Forest, VA 24551
Phone (434) 534-6868

1175 Corporate Park Dr
Forest, VA 24551
Phone (434) 525-6964

527 Pocket Rd
Hurt, VA 24563
Phone (434) 324-9150

14005 Wards Rd
#A
Lynchburg, VA 24501
Phone (434) 239-0132

2019 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 845-7035

2019 Tate Springs Rd
Lowr
Lynchburg, VA 24501
Phone (434) 846-7708

205 Archway Ct
Lynchburg, VA 24502
Phone (434) 382-1123

2137 Lakeside Dr
Ste 100
Lynchburg, VA 24501
Phone (434) 385-4184

2215 Landover Pl
Lynchburg, VA 24501
Phone (434) 947-3900

2215 Landover Pl
Lowr
Lynchburg, VA 24501

2321 Wards Rd
Lynchburg, VA 24502
Phone (434) 582-2273

118 Oakwood Dr
Madison Heights, VA 24572
Phone (434) 846-8421

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: shauntell.kline.1@8042.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 7

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1063802312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 TATE SPRINGS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011131",
            "telephone_number": "434-846-7374",
            "fax_number": "434-846-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 TATE SPRINGS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011131",
            "telephone_number": "434-846-7374",
            "fax_number": "434-846-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "SHAUNTELL",
        "middle_name": "REED",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "00012550801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063802312",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNTELL",
            "last_name": "REED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.