Individual provider Active NPI

Kasey R Stamper, APRN

  • Family Nurse Practitioner
  • Marion, VA
National Provider Identifier
1942891965
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180901 Issued in VA
Practice address
104 Helms St
Marion, VA 24354-1939
Phone
(423) 217-9530
NPI assigned
Feb 2, 2021
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024180901 VA Primary

Addresses

Primary practice location

104 Helms St
Marion, VA 24354-1939

Mailing address

590 W Ridge Rd Ste J
Wytheville, VA 24382-1067
Phone (127) 622-8240

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Www.signifyhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210923000483 TN Practitioner - Nurse Practitioner 1052718764 Reassigns benefits to 1 organization
I20220204002155 VA Practitioner - Nurse Practitioner 1052718764 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024180901VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care Tennessee PLLC CurrentSince Aug 10, 2021 Accepting new patients
Signify Health, LLC CurrentSince Dec 1, 2021 Accepting new patients
Wythe County Physician Practices LLC CurrentSince Aug 1, 2024 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients
Wythe Bland Pediatrics PastSince May 29, 2022 Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2021

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

360 Virginia Ave
Wytheville, VA 24382
Phone (276) 228-0080

360 Virginia Ave
#B
Wytheville, VA 24382
Phone (276) 223-1430

590 W Ridge Rd
Ste J
Wytheville, VA 24382
Phone (276) 228-2405

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: kasey.stamper.1@19847.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1942891965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W RIDGE RD STE J",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821067",
            "telephone_number": "127-622-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HELMS ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243541939",
            "telephone_number": "423-217-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPER",
        "first_name": "KASEY",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.signifyhealth.com",
            "affiliation": "N",
            "endpointDescription": "Signify Health iPad",
            "address_1": "104 Helms St",
            "city": "Marion",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243541939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.