Individual provider Active NPI

Andrea E.P. Kittrell, M.D.

  • Otolaryngology Physician
  • Lynchburg, VA
National Provider Identifier
1972500270
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101222062 Issued in VA
Practice address
3029 Old Forest Rd
Lynchburg, VA 24501-2341
Phone
(434) 455-7999
Fax
(434) 455-7997
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101222062 VA Primary

Addresses

Primary practice location

3029 Old Forest Rd
Lynchburg, VA 24501-2341

Mailing address

3029 Old Forest Rd
Lynchburg, VA 24501-2341
Phone (434) 455-7999

Other practice location 1

1870 Amherst St Ste 2B
Winchester, VA 22601-2841
Phone (540) 536-2790

Other practice location 2

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other identifiers 4

IdentifierTypeStateIssuer
174845OtherVASOUTHERN HEALTH
006502334MedicaidVA
337490OtherVAANTHEM
541250449OtherVAFEDERAL TAX ID

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address akittrell961589@soc.inova.org
Direct Messaging Address akittrell961589@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090831000121 VA Practitioner - Otolaryngology 0042365801 Reassigns benefits to 3 organizations
I20230413001411 PA Practitioner - Otolaryngology 0042365801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wake Forest University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger Clinic 3,432 clinicians
Winchester Medical Center 313 clinicians
Valley Physician Enterprise Inc 176 clinicians

Practice addresses (Care Compare)

1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700

1870 Amherst St
Suite 2B
Winchester, VA 22601-2841
Phone (540) 536-7290

Hospital & facility affiliations

  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101222062VAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center Current Accepting new patients
Valley Physician Enterprise, Inc Current Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Winchester Medical Center CurrentSince Oct 11, 2021 Accepting new patients
Complexions of Central Virginia, Inc. CurrentSince Feb 17, 2024 Accepting new patients
Winchester Medical Center CurrentSince Oct 11, 2021 Accepting new patients
Geisinger Clinic CurrentSince Mar 20, 2023 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Oct 11, 2021 Accepting new patients
Valley Physician Enterprise, Inc. Otolaryngology CurrentSince Oct 11, 2021 Accepting new patients
Geisinger Clinic CurrentSince Mar 20, 2023 Accepting new patients
Winchester Medical Center Current Accepting new patients
Central Virginia Audiology Services Inc Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1922 Thomson Dr
Ste B
Lynchburg, VA 24501
Phone (434) 846-4444

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1870 Amherst St
Ste 2B
Winchester, VA 22601
Phone (540) 536-6721

Interoperability endpoints

  • Direct secure messaging: akittrell961589@soc.inova.org
  • Direct secure messaging: akittrell961589@valleyhealth.direct-ci.com

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1972500270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 OLD FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012341",
            "telephone_number": "434-455-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 OLD FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012341",
            "telephone_number": "434-455-7999",
            "fax_number": "434-455-7997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 Amherst St Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012841",
            "country_code": "US",
            "telephone_number": "540-536-2790",
            "fax_number": "540-536-2791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITTRELL",
        "first_name": "ANDREA",
        "middle_name": "E.P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101222062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "174845",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006502334",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "337490",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "541250449",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akittrell961589@soc.inova.org",
            "affiliation": "N",
            "address_1": "1870 Amherst St Ste 2B",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akittrell961589@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.