Kelly McDaniel, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

27768 Issued in TN

Practice address

288 Rolling Meadows Rd
Lebanon, VA 24266-5870

Phone

(276) 608-4114

NPI assigned

Jun 16, 2020

Last updated

Jun 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 TN

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

Specialty

Nurse Practitioner

Education

Lincoln Memorial University Medical Department, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates, P.C.Group PAC ID 3971578816, 26 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology Associates, P.C.

  • Dermatology Physician
  • Kingsport, TN
  • NPI 1487695862
  Medicare reassignment Care Compare group NPD
• William J. Schermer PLLC

  • Dermatology Physician
  • Bristol, TN
  • NPI 1962533661
  NPD (past)

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1275158164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 ROLLING MEADOWS RD",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242665870",
            "telephone_number": "276-608-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 ROLLING MEADOWS RD",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242665870",
            "telephone_number": "276-608-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "KELLY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Recovery LLC
• Judith Easterly Lockridge, RPT
• Luke Stillwell Optometrist, P.C.
• Abbigael Martin McCoy, MS, CCC-SLP
• Kelsey Wise McCoy, PA
• Rodney Hugh McMurray, LCSW
• Medical Rentals and Supplies Inc of Oakwood
• Mercy Ambulance Services Inc
• Merit Medical RHC Lebanon Inc
• Chandler Miller

• 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 Jun 16, 2020; 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.