Active NPI
Kate Kennedy Pierce, PA
- Physician Assistant
- Christiansburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110006430
- Practice address
- 2900 Lamb Cir
Christiansburg, VA 24073-6344 - Phone
- (540) 731-2866
- Fax
- (540) 731-2867
- NPI assigned
- Jun 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05804 | NC | |
| Medical Physician Assistant | 363AM0700X | 0010-05804 | NC | |
| Physician Assistant | 363A00000X | 0110006430 | VA | Primary |
Addresses
Primary practice location
2900 Lamb Cir
Christiansburg, VA 24073-6344
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19C7T | Other | NC | BCBS NC |
| 1184007916 | Medicaid | NC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05804 | NC | MD | Physician Assistant |
| 0110006430 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Virginia | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Virginia | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients |
Locations
2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
1336 W Main St
Salem, VA 24153
Phone (540) 389-0374
Interoperability endpoints
- kgriffin44866@direct.carilionclinic.org
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Roanoke, VA
- NPI 1649423815
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Urgent Care Clinic/Center
- Bluefield, VA
- NPI 1215219878
-
- Durable Medical Equipment & Medical Supplies
- Galax, VA
- NPI 1639980493
-
- Rural Health Clinic/Center
- Martinsville, VA
- NPI 1710504840
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- Urgent Care Clinic/Center
- Richmond, VA
- NPI 1225563679
-
- Urgent Care Clinic/Center
- Danville, VA
- NPI 1902153711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1184007916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5715",
"fax_number": "540-224-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 LAMB CIR",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240736344",
"telephone_number": "540-731-2866",
"fax_number": "540-731-2867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "KATE",
"middle_name": "KENNEDY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05804",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-05804",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "19C7T",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184007916",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.