Individual provider Active NPI

Kendall Lynn Weishampel, FNP-C

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1609723683
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024196718 Issued in VA
Practice address
6541 Rolling Brook Rd Apt 105-11
Roanoke, VA 24019-1452
Phone
(828) 351-6000
Fax
(828) 287-7436
NPI assigned
Mar 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024196718 VA Primary

Addresses

Primary practice location

6541 Rolling Brook Rd Apt 105-11
Roanoke, VA 24019-1452

Mailing address

112 Sparks Dr
Forest City, NC 28043-9021
Phone (704) 675-7279

Other practice location 1

721 Fairfax Ave Ste 200
Norfolk, VA 23507-2007
Phone (757) 446-5629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260505003415 VA Practitioner - Nurse Practitioner 8628546926 Reassigns benefits to 2 organizations
I20260601003139 NC Practitioner - Nurse Practitioner 8628546926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

112 Sparks Dr
Forest City, NC 28043-9021

2311 Tulls Creek Rd
Moyock, NC 27958-9032

PO Box
Suite 936
Norfolk, VA 23501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024196718VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Specialists CurrentSince Apr 14, 2026 Accepting new patients

Locations

112 Sparks Dr
Forest City, NC 28043
Phone (704) 675-7279

Organizations & group practices 2

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": "1773187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1609723683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPARKS DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439021",
            "telephone_number": "704-675-7279",
            "fax_number": "704-675-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6541 ROLLING BROOK RD APT 105-11",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240191452",
            "telephone_number": "828-351-6000",
            "fax_number": "828-287-7436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Fairfax Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235072007",
            "country_code": "US",
            "telephone_number": "757-446-5629",
            "fax_number": "757-446-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISHAMPEL",
        "first_name": "KENDALL",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024196718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.