Kindred Community Cares Inc.

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

Legal business name

KINDRED COMMUNITY CARES INC.

Practice address

3277 S Crater Rd Ste D
Petersburg, VA 23805-9285

Phone

(804) 805-8518

Fax

(804) 805-8518

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Russell BlandNPI 1598621203

Title

Director

Phone

(301) 752-4611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Bland, FNP-BC

  • Family Nurse Practitioner
  • Richmond, VA
  • NPI 1053075622
  Medicare reassignment NPD
• Russell Bland

  • Community Health Worker
  • Petersburg, VA
  • NPI 1598621203
  NPD Authorized official

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1881413698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 S CRATER RD STE D",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059285",
            "telephone_number": "804-805-8518",
            "fax_number": "804-805-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 S CRATER RD STE D",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059285",
            "telephone_number": "804-805-8518",
            "fax_number": "804-805-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED COMMUNITY CARES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-752-4611"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Allen Kicklighter, PHARMD, MHA, BCMTMS
• Kim Dawkins
• Suel Peter Kim, MD
• Kimberly K Jones - Karisma Consulting
• Carrie Kincaid-Washington, D.P.M.
• Kindred Support Services LLC
• King & Queens Transport LLC
• Annette Q King, MS, RDN
• Darnella King
• Katrina Kirby

• Community Health Nurse Practitioner in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Community Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.