Kim Eckenroth, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024174481 Issued in VA

Practice address

6045 Peters Creek Rd
Roanoke, VA 24019-4029

Phone

(540) 989-6265

Fax

(540) 989-1547

NPI assigned

Feb 2, 2017

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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Gentle Shepherd Hospice Inc.

  • Community Based Hospice Care Agency
  • Roanoke, VA
  • NPI 1346208337

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Gentle Shepherd Hospice, Inc

  • Community Based Hospice Care Agency
  • Charlottesville, VA
  • NPI 1720307747

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gentle Shepherd Hospice Inc.

  • Community Based Hospice Care Agency
  • Roanoke, VA
  • NPI 1346208337
  NPD
• Gentle Shepherd Hospice, Inc

  • Community Based Hospice Care Agency
  • Charlottesville, VA
  • NPI 1720307747
  NPD

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1346788056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194029",
            "telephone_number": "540-989-6265",
            "fax_number": "540-989-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194029",
            "telephone_number": "540-989-6265",
            "fax_number": "540-989-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKENROTH",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easy As 123 Inc
• Cherie A Ebel, PT
• John L. Eby, Jr., DDS
• Deborah K Echternach, PT
• Jaimie Echternach
• Richard Russell Eckert, M.D.
• Sherry P. Eckert, MSN
• Kristin Lynn Eckland, ACNP, BC, RNFA
• Joseph Buckner Eddins III, PA
• Godwin Uchenna Edeh, M.D.

• Family Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, 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 Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.