Active NPI
Kristin Lynn Eckland, ACNP, BC, RNFA
- Acute Care Nurse Practitioner
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024167225
- Practice address
- 2001 Crystal Spring Ave SW Ste 201
Roanoke, VA 24014-2465 - Phone
- (540) 853-0100
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 61944 | WV | |
| Acute Care Nurse Practitioner | 363LA2100X | PENDING | VI | |
| Acute Care Nurse Practitioner | 363LA2100X | AP4242 | AZ | |
| Acute Care Nurse Practitioner | 363LA2100X | 0024167225 | VA | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 2005-01389 | NC | |
| Acute Care Nurse Practitioner | 363LA2100X | APN0000011834 | TN |
Addresses
Primary practice location
2001 Crystal Spring Ave SW Ste 201
Roanoke, VA 24014-2465
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11834 | Other | TN | ADVANCED PRACTICE NURSE |
| 2005009361-28 | Other | NATIONAL CERTIFICATION | |
| PENDING | Other | VI | NURSING LICENSE |
| 61944 | Other | WV | NURSING LICENSE/ ADVANCED |
| 140397 | Other | TN | RN LICENSE (NP PENDING) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11834 | TN | MD | Physical Therapist |
| AP4242 | AZ | MD | Acute Care Nurse Practitioner |
| 2005-01389 | NC | MD | Acute Care Nurse Practitioner |
| APN0000011834 | TN | MD | Acute Care Nurse Practitioner |
| 0024167225 | VA | MD | Acute Care Nurse Practitioner |
| PENDING | VI | MD | Acute Care Nurse Practitioner |
| 61944 | WV | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Pediatrics Associates | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Acute Care | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| UCSF Dept of Surgery | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients |
Locations
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Interoperability endpoints
- keckland655398@hisp.ehr.sutterhealth.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
-
- Surgery Physician
- San Francisco, CA
- NPI 1477627537
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Acute Care
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1508841370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CRYSTAL SPRING AVE SW STE 201",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240142465",
"telephone_number": "540-853-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKLAND",
"first_name": "KRISTIN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "ACNP, BC, RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WV",
"license": "61944",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VI",
"license": "PENDING",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "AP4242",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024167225",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "2005-01389",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "APN0000011834",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE NURSE",
"identifier": "11834",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION",
"identifier": "2005009361-28",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "PENDING",
"state": "VI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE/ ADVANCED",
"identifier": "61944",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE (NP PENDING)",
"identifier": "140397",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.