Individual provider Active NPI

Kaylene Landers, RN

  • Home Health Registered Nurse
  • Newport News, VA
National Provider Identifier
1972108140
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
0001246123 Issued in VA
Practice address
1405 Kiln Creek Pkwy Ste H
Newport News, VA 23602-9700
Phone
(757) 234-7372
Fax
(757) 234-7072
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 0001246123 VA Primary

Addresses

Primary practice location

1405 Kiln Creek Pkwy Ste H
Newport News, VA 23602-9700

Mailing address

1405 Kiln Creek Pkwy Ste H
Newport News, VA 23602-9700
Phone (757) 234-7372

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hamptonroads@nursenextdoor.com

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001246123VAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
K&CL, LLC CurrentSince Dec 6, 2020 Accepting new patients

Locations

1405 Kiln Creek Pkwy
Ste H
Newport News, VA 23602
Phone (757) 234-7372

Organizations & group practices 1

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": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1972108140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 KILN CREEK PKWY STE H",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029700",
            "telephone_number": "757-234-7372",
            "fax_number": "757-234-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 KILN CREEK PKWY STE H",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029700",
            "telephone_number": "757-234-7372",
            "fax_number": "757-234-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDERS",
        "first_name": "KAYLENE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "0001246123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hamptonroads@nursenextdoor.com",
            "affiliation": "N",
            "endpointDescription": "secure private email",
            "address_1": "1405 Kiln Creek Pkwy Ste H",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236029700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.