Individual provider Active NPI

Kelly Barnhart Welstead, CPNP

  • Pediatric Nurse Practitioner
  • Ashburn, VA
National Provider Identifier
1730172164
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024165368 Issued in VA
Practice address
20955 Professional PLZ
Ste 200
Ashburn, VA 20147-3405
Phone
(703) 729-7652
Fax
(703) 729-8746
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024165368 VA Primary

Addresses

Primary practice location

20955 Professional PLZ
Ste 200
Ashburn, VA 20147-3405

Mailing address

20955 Professional PLZ
Ste 200
Ashburn, VA 20147-3405
Phone (703) 729-7652

Other identifiers 1

IdentifierTypeStateIssuer
7793871MedicaidVA

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150910001140 VA Practitioner - Nurse Practitioner 8426365305 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Current Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 1, 2017 Accepting new patients
Loudoun Medical Group, PC CurrentSince Oct 29, 2019 Accepting new patients
Commonwealth Emergency Physicians PC CurrentSince Jul 15, 2015 Accepting new patients
Loudoun Medical Group, PC CurrentSince Oct 29, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Commonwealth Emergency Physicians PC PastSince Apr 17, 2020 Accepting new patients

Locations

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

19500 Sandridge Way
Ste 110
Leesburg, VA 20176
Phone (703) 723-7337

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

8644 Sudley Rd
#220
Manassas, VA 20110

205 Hirst Rd
Ste 302
Purcellville, VA 20132
Phone (540) 338-7065

Interoperability endpoints

  • Direct secure messaging: kelly.welstead@lmg1.eclinicaldirectplus.com

Organizations & group practices 8

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730172164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20955 PROFESSIONAL PLZ",
            "address_2": "STE 200",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473405",
            "telephone_number": "703-729-7652",
            "fax_number": "703-729-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20955 PROFESSIONAL PLZ",
            "address_2": "STE 200",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473405",
            "telephone_number": "703-729-7652",
            "fax_number": "703-729-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSTEAD",
        "first_name": "KELLY",
        "middle_name": "BARNHART",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024165368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7793871",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.