Kathy Jo Justus, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024166373 Issued in VA

Practice address

495 East Main Street
Lebanon, VA 24266-1100

Phone

(276) 889-3700

Fax

(276) 889-5505

NPI assigned

Nov 7, 2005

Last updated

Feb 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Highlands Community ServicesGroup PAC ID 8123014966, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Highlands Community Services

  • Community/Behavioral Health Agency
  • Abingdon, VA
  • NPI 1396774147
  Medicare reassignment Care Compare group NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Cardiovascular Disease Physician
  • Marion, VA
  • NPI 1326159567
  Medicare reassignment NPD
• Southwestern Virginia Mental Health Institute

  • Hospitalist Physician
  • Marion, VA
  • NPI 1912964347
  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  VA

  Medicare reassignment NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Psychiatry Physician
  • Lebanon, VA
  • NPI 1275701559
  NPD
• Southwestern Virginia Mental Health Institute

  • Long Term Care Pharmacy
  • Marion, VA
  • NPI 1144283094
  NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1982553756
  NPD
• C-Health PC

  • Preferred Provider Organization
  • Lebanon, VA
  • NPI 1801953245
  NPD (past)
• Clinch Valley Physicians Inc

  dba The Clinic

  • Multi-Specialty Clinic/Center
  • Richlands, VA
  • NPI 1912980855
  NPD (past)
• Medexpress Urgent Care, PC - Tennessee

  • Urgent Care Clinic/Center
  • Bristol, TN
  • NPI 1689931446
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1093796146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2377",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242662377",
            "telephone_number": "276-889-3700",
            "fax_number": "276-889-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 EAST MAIN STREET",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242661100",
            "telephone_number": "276-889-3700",
            "fax_number": "276-889-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "KATHY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166373",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024166373",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010261295",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093796146",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shenia Diane Johnson, DNP FNP-BC, PMHNP-BC
• Kristie L Jones, LPC
• Thomas Andrew Jones, FNP-C
• Justin Ferguson, D.D.S., PC
• Hailey Justus
• K-VA-T Food Stores Inc (Food City Pharmacy)
• Edgar Michael Kahn, M.D.
• Jonathan Keen, OD
• Tanya Dawn Keller, FNP-C, APRN
• Gloria Faye Kennedy, FNP-BC

• Family Nurse Practitioner in Lebanon, VA
• Providers in Lebanon, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.