Kevin Alan Kissner, RN, NREMT-P

Primary specialty

Flight Registered NurseTaxonomy code 163WF0300X

License

0001185682 Issued in VA

Practice address

115 Magnolia Springs Rd
Troutville, VA 24175-5101

Phone

(540) 966-2234

NPI assigned

Jun 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kevinkissner@kidmed.allscriptsdirect.net

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.

• Kidmed Inc.

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1407013121
  NPD

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1598059636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAGNOLIA SPRINGS RD",
            "city": "TROUTVILLE",
            "state": "VA",
            "postal_code": "241755101",
            "telephone_number": "540-966-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAGNOLIA SPRINGS RD",
            "city": "TROUTVILLE",
            "state": "VA",
            "postal_code": "241755101",
            "telephone_number": "540-966-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSNER",
        "first_name": "KEVIN",
        "middle_name": "ALAN",
        "credential": "RN, NREMT-P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "VA",
            "license": "E093004104",
            "primary": false
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "VA",
            "license": "0001185682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn B. Hadley, LPC
• Shanyn Hansen
• Haven Counseling
• Jaar Medical Group LLC
• James Starrett Jamison, M.A., NCSP
• Lianna Lawson, DO
• Life'S Little Blessings Birth Services, LLC
• Luckay Doc, PLLC
• Janet Martinez, OTR
• Scott Kyle Miller, DDS

• Flight Registered Nurse in Troutville, VA
• Providers in Troutville, VA by specialty
• Flight Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.