Individual provider Active NPI

Kelly Lynn Faulkner

  • Student in an Organized Health Care Education/Training Program
  • Norfolk, VA
National Provider Identifier
1619737509
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
241 Corporate Blvd
Norfolk, VA 23502-4975
Phone
(757) 622-2200
NPI assigned
Mar 19, 2024
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

241 Corporate Blvd
Norfolk, VA 23502-4975

Mailing address

210 Flemington Rd SE
Huntsville, AL 35802-2304
Phone (256) 520-6220

Other practice location 1

3235 Academy Ave Ste 200
Portsmouth, VA 23703-3200
Phone (757) 483-0400

Other practice location 2

2234 Cunningham Dr
Hampton, VA 23666-2555
Phone (757) 622-2200

Other practice location 3

2020 General Booth Blvd
Virginia Beach, VA 23454-5875
Phone (757) 622-2200

Other practice location 4

465 N Great Neck Rd
Virginia Beach, VA 23454-4064
Phone (757) 622-2200

Other practice location 5

1788 Republic Rd Ste 200
Virginia Beach, VA 23454-4552
Phone (757) 483-0400

Other practice location 6

805 Battlefield Blvd N Ste 111
Chesapeake, VA 23320-4878
Phone (757) 483-0400

Other practice location 7

2463 Pruden Blvd
Suffolk, VA 23434-4235
Phone (757) 622-2200

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015002072 VA Practitioner - Optometry 6608308655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Eye Consultants IncGroup PAC ID 6608860978, 57 clinicians

Practice addresses (Care Compare)

241 Corporate Blvd
Suite 210
Norfolk, VA 23502-4965
Phone 75762222003020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Eye Consultants Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

805 Battlefield Blvd N
Ste 111
Chesapeake, VA 23320
Phone (757) 844-6529

2234 Cunningham Dr
Hampton, VA 23666
Phone (757) 742-3902

241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577

241 Corporate Blvd
Ste 210
Norfolk, VA 23502

3235 Academy Ave
Ste 200
Portsmouth, VA 23703
Phone (757) 397-2020

2463 Pruden Blvd
Suffolk, VA 23434
Phone (757) 742-3902

1788 Republic Rd
Virginia Beach, VA 23454
Phone (757) 640-8673

1788 Republic Rd
Ste 200
Virginia Beach, VA 23454
Phone (757) 422-2966

2020 General Booth Blvd
Virginia Beach, VA 23454
Phone (757) 742-3902

465 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 481-5555

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kelly.faulkner.p1@direct.vec.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1619737509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FLEMINGTON RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022304",
            "telephone_number": "256-520-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CORPORATE BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024975",
            "telephone_number": "757-622-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3235 Academy Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237033200",
            "country_code": "US",
            "telephone_number": "757-483-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2234 Cunningham Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662555",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 General Booth Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234545875",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 N Great Neck Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234544064",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1788 Republic Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234544552",
            "country_code": "US",
            "telephone_number": "757-483-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Battlefield Blvd N Ste 111",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204878",
            "country_code": "US",
            "telephone_number": "757-483-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2463 Pruden Blvd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234344235",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.