Keylea Marenda Sanders, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

33237 Issued in TN

Practice address

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664

Phone

(276) 258-1000

NPI assigned

Jan 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Medical Education Assistance Corporation

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1235180480

  VA

  Medicare reassignment NPD
• Wci School Health Services, PLLC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1417261215

  Pediatrics

  NPD (past)
• Well Child Inc.

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1790839405
  NPD (past)

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1194431668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6559 WILDLIFE CIR",
            "city": "PINEY FLATS",
            "state": "TN",
            "postal_code": "376862947",
            "telephone_number": "423-782-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6559 Wildlife Cir",
            "address_purpose": "LOCATION",
            "city": "Piney Flats",
            "state": "TN",
            "postal_code": "376862947",
            "country_code": "US",
            "telephone_number": "423-782-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KEYLEA",
        "middle_name": "MARENDA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "33237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Sabo, AUD, CCC-A
• Kaylan R Salyer, FNP
• Neil Brandon Sample, O.D.
• Bethany Sandefur
• Ashley Sanders, LCSW
• Andrea Sartori, PH.D.
• Brian Scardo
• Jamie Schacht
• Matthew Schefcik
• Tara Schram

• Pediatric Nurse Practitioner in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; 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.

Verify at the official NPI Registry.