Active NPI
Kathleen S. Kelley, MD
- Internal Medicine Physician
- Harrisonburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101045174
- Practice address
- 498 University Blvd
Suite F
Harrisonburg, VA 22801 - Phone
- (540) 432-1700
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101045174 | VA | Primary |
Addresses
Primary practice location
498 University Blvd
Suite F
Harrisonburg, VA 22801
Mailing address
498 University Blvd
Suite F
Harrisonburg, VA 22801
Phone (540) 432-1700
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810003016 | Other | WV MEDICAID | |
| 1000870001 | Other | VA | DME PROVIDER |
| 1528917 | Other | VA | CIGNA |
| 010187257 | Medicaid | VA | |
| 190072 | Other | VA | ANTHEM/BCBS |
| 329798 | Other | SOUTHERN HEALTH | |
| 20552 | Other | VA | OPTIMA |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101045174 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spero Health of Virginia, LLC | Current | Accepting new patients | |
| Saunders & Peavy LLC | Current | Accepting new patients | |
| Dr. K. Michael King Chriopractor PLLC | Past | Accepting new patients | |
| Sentara RMH Medical Center | Past | Accepting new patients | |
| Sentara RMH Medical Center | Past | Accepting new patients | |
| Bridging the Gaps | Past | Accepting new patients | |
| Energie Wellness Solutions | Past | Accepting new patients |
Locations
155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359
343 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 432-9996
314 Fairy Street Ext
Ste B
Martinsville, VA 24112
Phone (276) 201-1647
2303 N Augusta St
Ste B
Staunton, VA 24401
Phone (540) 886-0745
Organizations & group practices 7
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.
-
- Addiction Medicine (Family Medicine) Physician
- Martinsville, VA
- NPI 1104465103
-
- Urgent Care Clinic/Center
- Harrisonburg, VA
- NPI 1245908268
-
- Substance Abuse Rehabilitation Facility
- Winchester, VA
- NPI 1689835910
-
- Nutrition Chiropractor
- Luray, VA
- NPI 1952332363
-
- Public Health & General Preventive Medicine Physician
- Harrisonburg, VA
- NPI 1780917161
-
- General Practice Physician
- Harrisonburg, VA
- NPI 1417027608
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1992760797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 UNIVERSITY BLVD",
"address_2": "SUITE F",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "22801",
"telephone_number": "540-432-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "498 UNIVERSITY BLVD",
"address_2": "SUITE F",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "22801",
"telephone_number": "540-432-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "KATHLEEN",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101045174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV MEDICAID",
"identifier": "3810003016",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME PROVIDER",
"identifier": "1000870001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1528917",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010187257",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/BCBS",
"identifier": "190072",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "329798",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "20552",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.