Individual provider Active NPI

Kathy Lee Cole, FNP-C

  • Family Nurse Practitioner
  • Cedar Bluff, VA
National Provider Identifier
1366193443
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024183449 Issued in VA
Practice address
1051 Claypool Hill Mall Rd
Cedar Bluff, VA 24609-8203
Phone
(276) 701-7389
Fax
(276) 345-4150
NPI assigned
Jan 11, 2022
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024183449 VA Primary

Addresses

Primary practice location

1051 Claypool Hill Mall Rd
Cedar Bluff, VA 24609-8203

Mailing address

1051 Claypool Hill Mall Rd Ste 20
Cedar Bluff, VA 24609-8200
Phone (276) 345-4688

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220214000400 VA Practitioner - Nurse Practitioner 4981097045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1051 Claypool Hill Mall Rd
Suite 20
Cedar Bluff, VA 24609-8200
Phone (276) 345-4688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Wellness Care LLC Family CurrentSince Jun 18, 2024 Accepting new patients
Applegate Health Services, Inc CurrentSince Feb 27, 2024 Accepting new patients

Locations

1662 Bonham Rd
Bristol, VA 24201
Phone (276) 644-9899

1051 Claypool Hill Mall Rd
Cedar Bluff, VA 24609
Phone (276) 701-7389

1051 Claypool Hill Mall Rd
Ste 20
Cedar Bluff, VA 24609
Phone (276) 345-4688

1051 Claypool Hill Mall Rd
Ste 21
Cedar Bluff, VA 24609

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.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1366193443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 CLAYPOOL HILL MALL RD STE 20",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246098200",
            "telephone_number": "276-345-4688",
            "fax_number": "246-304-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 CLAYPOOL HILL MALL RD",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246098203",
            "telephone_number": "276-701-7389",
            "fax_number": "276-345-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KATHY",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Bluff, VA

Sources for this page

Verify at the official NPI Registry.