Individual provider Active NPI

Kayla Elizabeth Tomlin, NP

  • Acute Care Nurse Practitioner
  • Bedford, VA
National Provider Identifier
1952186736
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024187974 Issued in VA
Practice address
1613 Oakwood St
Bedford, VA 24523-1213
Phone
(540) 425-7800
NPI assigned
Aug 29, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024187974 VA Primary

Addresses

Primary practice location

1613 Oakwood St
Bedford, VA 24523-1213

Mailing address

97 Reynolds Dr
Rustburg, VA 24588-3254
Phone (434) 382-8040

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
I20231023000054 VA Practitioner - Nurse Practitioner 9739535188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

1401 Virginia Ave
Harrisonburg, VA 22802-2433
Phone (540) 564-3550

1475 Virginia Ave
Harrisonburg, VA 22802-2433
Phone (540) 564-3400

1945 Roanoke Blvd
Salem, VA 24153-6408
Phone (540) 345-3894

2003 Cobb St
Farmville, VA 23901-2603
Phone (434) 932-6106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024187974VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Sep 23, 2023 Accepting new patients
Universal Health Corporation CurrentSince Sep 9, 2023 Accepting new patients

Locations

1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800

2003 Cobb St
Farmville, VA 23901
Phone (434) 392-6106

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

Organizations & group practices 2

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1952186736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 REYNOLDS DR",
            "city": "RUSTBURG",
            "state": "VA",
            "postal_code": "245883254",
            "telephone_number": "434-382-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 OAKWOOD ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231213",
            "telephone_number": "540-425-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLIN",
        "first_name": "KAYLA",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024187974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

Verify at the official NPI Registry.