Active NPI
Kibble Harris Kessick, FNP-C
- Family Nurse Practitioner
- Charlottesville, VA
National Provider Identifier
1700168275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024169628
- Practice address
- 631 Berkmar Cir
Charlottesville, VA 22901-1464 - Phone
- (434) 400-9668
- Fax
- (434) 465-6018
- NPI assigned
- Sep 12, 2011
- Last updated
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024169628 | VA | Primary |
Addresses
Primary practice location
631 Berkmar Cir
Charlottesville, VA 22901-1464
Mailing address
631 Berkmar Cir
Charlottesville, VA 22901-1464
Phone (434) 400-9668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024169628 | Other | VA | NURSE PRACTITIONER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024169628 | VA | MD | Family Nurse Practitioner |
Interoperability endpoints
- addictionallies.kibblekessick@150196.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1700168275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 BERKMAR CIR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011464",
"telephone_number": "434-400-9668",
"fax_number": "434-465-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 BERKMAR CIR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011464",
"telephone_number": "434-400-9668",
"fax_number": "434-465-6018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSICK",
"first_name": "KIBBLE",
"middle_name": "HARRIS",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024169628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE",
"identifier": "0024169628",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.