Kellen James Squire

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

225 Jeanette Lancaster Way
Charlottesville, VA 22903-3387

Phone

(434) 297-6600

NPI assigned

Sep 3, 2026

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1487563458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 JEANETTE LANCASTER WAY",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229033387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 JEANETTE LANCASTER WAY",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229033387",
            "telephone_number": "434-297-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRE",
        "first_name": "KELLEN",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Brooke Keisler Splaun, PHD
• Brian Thomas Spoelhof, PHARMD
• Carolyn Springett
• Jessica Leigh Springett, PHARMD
• Jody M Sproul, FNP-BC
• Avinash Manickam Sridhar, M.D.
• Prakhyath Srikaram, MD
• Nandan Srinivasa
• Selvi Sriranganathan, M.S.
• Madison Sroufe

• Student in an Organized Health Care Education/Training Program in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Student in an Organized Health Care Education/Training Program in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.