Individual provider Active NPI

Lindsey Heldreth Kennedy

  • Family Nurse Practitioner
  • Bastian, VA
National Provider Identifier
1225568934
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174921 Issued in VA
Practice address
12301 Grapefield Rd
Bastian, VA 24314-4547
Phone
(276) 688-4331
Fax
(276) 688-4336
NPI assigned
Jun 14, 2017
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 0024174921 VA Primary

Addresses

Primary practice location

12301 Grapefield Rd
Bastian, VA 24314-4547

Mailing address

12301 Grapefield Rd
Bastian, VA 24314-4547
Phone (276) 688-4331

Other practice location 1

8494 S Scenic Hwy
Bland, VA 24315-5255
Phone (276) 688-0500

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
I20171003006426 VA Practitioner - Nurse Practitioner 0042585978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bland County Medical Clinic IncGroup PAC ID 2264326453, 20 clinicians

Practice addresses (Care Compare)

12301 Grapefield Rd
Bastian, VA 24314-4547
Phone 2766884331316

700 Univeristy City Blvd
Blacksburg, VA 24060-2706
Phone (540) 961-8300

700 University City Blvd
Blacksburg, VA 24060-2706

705 Wenonah Ave
Pearisburg, VA 24134-1660
Phone (540) 921-2238

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bland County Medical Clinic, Inc. CurrentSince Jul 31, 2017 Accepting new patients
Bland County Medical Clinic, Inc. CurrentSince Jul 31, 2017 Accepting new patients
New River Valley Community Services CurrentSince Jan 10, 2019 Accepting new patients
New River Valley Community Services CurrentSince Jan 10, 2019 Accepting new patients

Locations

12301 Grapefield Rd
Bastian, VA 24314
Phone (276) 688-2626

700 University City Blvd
Blacksburg, VA 24060
Phone (540) 961-8300

8494 S Scenic Hwy
Bland, VA 24315
Phone (276) 688-0500

705 Wenonah Ave
Pearisburg, VA 24134
Phone (540) 921-2238

327 N Washington Ave
Pulaski, VA 24301
Phone (540) 994-5023

Interoperability endpoints

  • Direct secure messaging: lindsey.kennedy@bcmc.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1225568934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 GRAPEFIELD RD",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144547",
            "telephone_number": "276-688-4331",
            "fax_number": "276-688-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 GRAPEFIELD RD",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144547",
            "telephone_number": "276-688-4331",
            "fax_number": "276-688-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8494 S Scenic Hwy",
            "address_purpose": "LOCATION",
            "city": "Bland",
            "state": "VA",
            "postal_code": "243155255",
            "country_code": "US",
            "telephone_number": "276-688-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LINDSEY",
        "middle_name": "HELDRETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastian, VA

Sources for this page

Verify at the official NPI Registry.