Senecca Elliott Kirkhart, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024167190 Issued in VA

Practice address

2100 Wilborn Ave
South Boston, VA 24592-1628

Phone

(434) 517-8022

Fax

(434) 517-8370

NPI assigned

Feb 27, 2007

Last updated

Nov 20, 2020By 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 1

Addresses

Other identifiers 1

Other names 1

• Senecca Bremm Elliott Former name

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

Interoperability endpoints

• Direct secure messaging: skirkhart528352@direct.sentara.net

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.

• Halifax Regional Hospital, Inc.

  dba Sentara Halifax Regional Hospital

  • General Acute Care Hospital
  • South Boston, VA
  • NPI 1588668842
  Medicare reassignment NPD
• Halifax Regional Hospital, Inc

  dba Sentara Gynecology Specialists

  • Rural Health Clinic/Center
  • South Boston, VA
  • NPI 1033728803
  NPD
• Dominion Health Medical Associates LTD

  dba Sentara Obstetrics & Gynecology

  • Non-Surgical Family Planning Clinic/Center
  • South Boston, VA
  • NPI 1992244172
  NPD (past)
• Halifax Regional Hospital, Inc

  dba Sentara Clarksville Family Medicine

  • Rural Health Clinic/Center
  • Clarksville, VA
  • NPI 1154930824
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1316074768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921628",
            "telephone_number": "434-517-8022",
            "fax_number": "434-517-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921628",
            "telephone_number": "434-517-8022",
            "fax_number": "434-517-8370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19450 Deerfield Avenue",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "20176",
            "country_code": "US",
            "telephone_number": "703-723-7337",
            "fax_number": "703-723-6848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKHART",
        "first_name": "SENECCA",
        "middle_name": "ELLIOTT",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024167190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316074768",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SENECCA",
            "last_name": "ELLIOTT",
            "middle_name": "BREMM",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terry L Ketchersid
• Kwang W Kim, DDS
• Broderick Daryl King, MD
• Samantha Y King, MD
• Deborah Kipps-Vaughan, PSY. D.
• Robert Joseph Krempl, DDS
• Christian Kulemfuka, PHARMACIST
• Kute&Katchy LLC.
• Kwang W Kim, DDS, PLLC
• Michael K Kyles, MD

• Pediatric Nurse Practitioner in South Boston, VA
• Providers in South Boston, 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 Nov 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.