Kelly M Washburn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

233266 Issued in MA

Practice address

17068 Lankford Highway
Eastville, VA 23347

Phone

(757) 331-1086

Fax

(757) 442-9505

NPI assigned

Sep 7, 2007

Last updated

Jun 4, 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

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Shore Memorial Hospital Hospital, Onancock, VA, CCN 490037

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIBEAA

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.

• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1780868547

  VA

  Medicare reassignment Care Compare group NPD
• Eastern Shore Rural Health System Incorporated

  dba Atlantic Community Health Center

  • Federally Qualified Health Center (FQHC)
  • New Church, VA
  • NPI 1043341613
  Medicare reassignment NPD
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1003090879

  DC

  Medicare reassignment NPD
• Eastern Shore Rural Health System Incorporated

  dba Atlantic Community Pharmacy

  • Community/Retail Pharmacy
  • Oak Hall, VA
  • NPI 1174224604
  NPD
• Eastern Shore Rural Health System Incorporated

  dba Franktown Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Franktown, VA
  • NPI 1194856765
  NPD
• Eastern Shore Rural Health System Incorporated

  dba Onley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Onley, VA
  • NPI 1568592426
  NPD
• Eastern Shore Rural Health System Incorporated

  dba Chincoteague Island Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Chincoteague, VA
  • NPI 1598895542
  NPD
• American Current Care P.a.

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Gaithersburg, MD
  • NPI 1164971461
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shore Health Services Inc.

  dba Riverside Shore Memorial Hospital

  • Rural Acute Care Hospital
  • Onancock, VA
  • NPI 1619076916
  Care Compare affiliation

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1376738930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234171331",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17068 LANKFORD HIGHWAY",
            "city": "EASTVILLE",
            "state": "VA",
            "postal_code": "23347",
            "telephone_number": "757-331-1086",
            "fax_number": "757-442-9505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9159 Franktown Road",
            "address_purpose": "LOCATION",
            "city": "Franktown",
            "state": "VA",
            "postal_code": "23354",
            "country_code": "US",
            "telephone_number": "757-442-4819",
            "fax_number": "757-442-9505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "233266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Riopel, MD
• Ralph M Sanchez, M.D.
• Grace St. Pierre, FNP-C
• Paul Morgan Stevenson, PA-C
• Uday Tiwari, MBBS
• Jesse Alexander Wingate, M.S.
• Nicole Freda Wynder, NCC,LPC, LMFT, LCMHC
• Jonathan S. Yankes, PA-C

• Family Medicine Physician in Eastville, VA
• Providers in Eastville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.
• 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.

Verify at the official NPI Registry.