Individual provider Active NPI

Rachel Elizabeth Kime, CPNP-PC

  • Pediatric Nurse Practitioner
  • Harrisonburg, VA
National Provider Identifier
1578011573
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024177530 Issued in VA
Practice address
1380 Little Sorrell Dr Ste 100
Harrisonburg, VA 22801-7372
Phone
(540) 433-4913
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5008912 NC
Pediatric Nurse Practitioner 363LP0200X 0024177530 VA Primary

Addresses

Primary practice location

1380 Little Sorrell Dr Ste 100
Harrisonburg, VA 22801-7372

Mailing address

1380 Little Sorrell Dr Ste 100
Harrisonburg, VA 22801-7372
Phone (540) 433-4913

Other practice location 1

1046 E Wendover Ave
Greensboro, NC 27405-6712
Phone (336) 272-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191015002559 VA Practitioner - Nurse Practitioner 9032440557 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008912NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisonburg Community Health Center Current Accepting new patients
Harrisonburg Community Health Center Inc CurrentSince Sep 9, 2019 Accepting new patients
Harrisonburg Community Health Center CurrentSince Sep 9, 2019 Accepting new patients
Harrisonburg Community Health Center CurrentSince Sep 9, 2019 Accepting new patients

Locations

800 Shenandoah Ave
#170
Elkton, VA 22827
Phone (540) 298-9900

1479 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 433-4913

1380 Little Sorrell Dr
Ste 100
Harrisonburg, VA 22801
Phone (540) 433-4913

563 Neff Ave
Ste A
Harrisonburg, VA 22801
Phone (540) 214-9870

Interoperability endpoints

  • Direct secure messaging: rkime@tapmedicine.gwaydirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1578011573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LITTLE SORRELL DR STE 100",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228017372",
            "telephone_number": "540-433-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LITTLE SORRELL DR STE 100",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228017372",
            "telephone_number": "540-433-4913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 E Wendover Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274056712",
            "country_code": "US",
            "telephone_number": "336-272-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIME",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5008912",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024177530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.