Active NPI
Kelley Lynn Busam, FNP-C
- Family Nurse Practitioner
- Lexington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024189328
- Practice address
- 110 Houston St Ste D
Lexington, VA 24450-2437 - Phone
- (540) 462-3950
- NPI assigned
- Feb 5, 2024
- Last updated
- Aug 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024189328 | VA | Primary |
Addresses
Primary practice location
110 Houston St Ste D
Lexington, VA 24450-2437
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Other practice location 1
131 Dor Rie Ln
Providence, NC 27315-9613
Phone (434) 203-0255
Other names 1
- Kelley Lynn Doss
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Houston St
Suite D
Lexington, VA 24450-2437
Phone (540) 591-9456
434 Peppers Ferry NW Rd
Christiansburg, VA 24073-5780
Phone (540) 382-6000
46 Wesley Rd
Daleville, VA 24083-3082
Phone (540) 591-9440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024189328 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Emergency Services, Inc. | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients |
Locations
434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000
110 Houston St
Ste D
Lexington, VA 24450
Phone (540) 462-3950
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
Interoperability endpoints
- kdoss76527@direct.carilionclinic.org
Organizations & group practices 3
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.
-
dba VelocityCare
- Urgent Care Clinic/Center
- Roanoke, VA
- NPI 1255602694
-
dba Bridgewater College Student Health Center
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1336902113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HOUSTON ST STE D",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244502437",
"telephone_number": "540-462-3950"
}
],
"practiceLocations": [
{
"address_1": "131 Dor Rie Ln",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "NC",
"postal_code": "273159613",
"country_code": "US",
"telephone_number": "434-203-0255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSAM",
"first_name": "KELLEY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-05",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024189328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLEY",
"last_name": "DOSS",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.
- 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.