Hope Medical Clinic

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

HOPE MEDICAL CLINIC

Practice address

101 Doctors Park
Galax, VA 24333-2277

Phone

(276) 233-2575

NPI assigned

Jun 11, 2022

Organization subpart

No

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

Authorized official

Name

Michele Keesling, DNP, AGPCNP-BCNPI 1659824332

Title

Owner

Phone

(276) 223-2575

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Lee Keesling, NP

  • Adult Health Nurse Practitioner
  • Galax, VA
  • NPI 1659824332
  Medicare reassignment Care Compare group NPD Authorized official
• Misty Dawn Marsh

  • Adult Health Nurse Practitioner
  • Galax, VA
  • NPI 1417767013
  Medicare reassignment Care Compare group NPD
• Mark A Pruitt, FNP

  • Acute Care Nurse Practitioner
  • Galax, VA
  • NPI 1437144938
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1477283612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DOCTORS PARK",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332277",
            "telephone_number": "276-601-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DOCTORS PARK",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332277",
            "telephone_number": "276-233-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "KEESLING",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-223-2575",
        "authorized_official_credential": "DNP, AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "0024173570",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659824332",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hopemedicalclinic2022@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 Doctors Park",
            "city": "Galax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243332277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy J Hickam, LCSW
• Lorry A. Higgins, LPN
• Sally Newman Hill, MS CCC-SLP
• Tori Tennielle Hines, FNP-BC
• Mikayla Hoch
• Horizon Medical Equipment, Inc.
• William R Horton, R.PH.
• Hospice of Surry County, Inc
• Hospice of Surry County, Inc
• Sherry Austin Huff

• Primary Care Nurse Practitioner in Galax, VA
• Providers in Galax, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.