NPIMap

Individual provider Active NPI

Kimberly A Caldwell, PA

  • Physician Assistant
  • Christiansburg, VA
National Provider Identifier
1699776047
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001361 Issued in IA
Practice address
120 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone
(540) 382-3440
Fax
(540) 382-7240
NPI assigned
Aug 9, 2005
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001361 IA Primary

Addresses

Primary practice location

120 Akers Farm Rd
Christiansburg, VA 24073-4863

Mailing address

120 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone (540) 382-3440

Other identifiers 2

IdentifierTypeStateIssuer
41329OtherIAWELLMARK BCBS
VV1195AOtherVAMEDICARE PTAN

Other names 1

  • Kimberly A Rexroad Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kcaldwell60638@direct.carilionclinic.org
Direct Messaging Address kcaldwell60638@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000750 VA Practitioner - Physician Assistant 3779685631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians
Carilion Giles Community HospitalGroup PAC ID 3678670221, shared by 17 NPIs, 223 clinicians

Practice addresses (Care Compare)

110 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone (540) 382-9405

1150 Holston Rd
Wytheville, VA 24382-4109
Phone (540) 382-9405

120 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone (540) 382-3440

416 S Main St
Hillsville, VA 24343-1698
Phone (276) 670-3300

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01361IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Giles Community Hospital CurrentSince Aug 23, 2021 Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 11, 2014 Accepting new patients
Carilion Giles Community Hospital CurrentSince Aug 23, 2021 Accepting new patients

Locations

120 Akers Farm Rd
Christiansburg, VA 24073
Phone (540) 382-3440

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: kcaldwell60638@direct.carilionclinic.org

Organizations & group practices 5

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1699776047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 AKERS FARM RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734863",
            "telephone_number": "540-382-3440",
            "fax_number": "540-382-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 AKERS FARM RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734863",
            "telephone_number": "540-382-3440",
            "fax_number": "540-382-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "41329",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VV1195A",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcaldwell60638@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "kcaldwell60638@direct.carilionclinic.org",
            "address_1": "120 Akers Farm Rd",
            "city": "Christiansburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240734863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcaldwell60638@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kcaldwell60638@direct.carilionclinic.org",
            "address_1": "120 Akers Farm Rd",
            "city": "Christiansburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240734863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "REXROAD",
            "middle_name": "A",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.