Lara Elaine Kiser, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Cedar Bluff, VA
NPI 1487057568 · NPPES record last updated Oct 2, 2014
Key facts
- NPI
- 1487057568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024172068 (VA)
- Practice address
- 216 College Ridge Road
Cedar Bluff, VA 24609-0765 - Phone
- (276) 964-7176
- Fax
- (276) 964-7157
- NPI assigned
- Oct 2, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160719000040 | VA | Practitioner - Nurse Practitioner | 0941505598 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Agency for Senior Citizens | Current |
Accepting new patients | |
| Appalachian Agency for Senior Citizens, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024172068 | VA | Yes |
Addresses
Primary practice location
216 College Ridge Road
Cedar Bluff, VA 24609-0765
Mailing address
PO Box 765
Cedar Bluff, VA 24609-0765
Phone (276) 964-7176
Other providers in Cedar Bluff, VA
- Kaitlyn Ogden Keen
- Mary K Keene
- Lindsey Wallace Kegley
- Jonathon Kinder
- Kelley Nicole Kinder
- Samantha Rose Kramer
- Kelley Lambert
- Lauren Michelle Lester
- Priscilla Sue Lester
- Sharon Monk Lester
All providers in Cedar Bluff, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.