Kayla Lee Dolly, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

108740 Issued in WV

Practice address

160 Shady Hill LN
Wiley Ford, WV 26767-8016

Phone

(304) 709-2471

NPI assigned

Nov 18, 2021

Last updated

Sep 17, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, PA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kfain35235@direct.wvuhsdirect.com

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.

• West Virginia University Medical Corporation

  dba University Health Associates

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508
  Medicare reassignment NPD
• Fayette Physician Network Inc

  • Surgery Physician
  • Uniontown, PA
  • NPI 1992107817
  Medicare reassignment NPD
• Klpnp LLC

  • Pediatrics Physician
  • Bridgeport, WV
  • NPI 1508726654
  NPD Authorized official
• West Virginia University Medical Corporation

  dba Crisis Support and Recovery Center

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD
• Fayette Physician Network Inc

  • Family Medicine Physician
  • Friendsville, MD
  • NPI 1437823044
  NPD
• United Physicians Care Inc

  dba Pinewood Medical Center

  • Family Medicine Physician
  • Grafton, WV
  • NPI 1891863874
  NPD (past)
• Coastal Pediatrics

  • Primary Care Clinic/Center
  • Conway, SC
  • NPI 1659382067
  NPD (past)
• Coastal Pediatrics

  • Pediatrics Physician
  • Conway, SC
  • NPI 1982012829
  NPD (past)
• Fayette Physician Network Inc

  • Family Medicine Physician
  • Uniontown, PA
  • NPI 1013319292
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1336806876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SHADY HILL LN",
            "city": "WILEY FORD",
            "state": "WV",
            "postal_code": "267678016",
            "telephone_number": "240-624-6694",
            "fax_number": "833-340-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SHADY HILL LN",
            "city": "WILEY FORD",
            "state": "WV",
            "postal_code": "267678016",
            "telephone_number": "304-709-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265061200",
            "country_code": "US",
            "telephone_number": "304-598-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLLY",
        "first_name": "KAYLA",
        "middle_name": "LEE",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "AC007193",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WV",
            "license": "108740",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP031560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Bittinger
• Brenda Joan Blount, PCA
• Melissa Sue Hines, MSW, LICSW, LCSWC
• Joanna Marie Riley
• Jennifer Lee Whitacre, COTA/L
• Wiley Ford Volunteer Fire Company

• Pediatric Nurse Practitioner in Wiley Ford, WV
• Providers in Wiley Ford, WV by specialty
• Pediatric Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.