NICOLE D. KEMP APRN NPI 1447590641

NPI Information

NPI: 1447590641
Provider Name: NICOLE D. KEMP, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5334 AIRPORT RD NW
ROANOKE, VA
ZIP 24012
Phone: (785) 554-3016
Get Directions

Nicole D. Kemp, APRN is a family nurse practitioner in Roanoke, VA. Nicole D. Kemp, APRN NPI is 1447590641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5334 AIRPORT RD NW
ROANOKE, VA
ZIP 24012-302
Phone: (785) 554-3016

The NPI 1447590641 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/25/2013 and was last updated on 3/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		AC003118	MARYLAND	No
2	363L00000X	Nurse Practitioner		53-75815-061	KANSAS	No
3	363LF0000X	Nurse Practitioner	Family	1049941	TEXAS	No
4	363LF0000X	Nurse Practitioner	Family	740164	PENNSYLVANIA	No
5	363LF0000X	Nurse Practitioner	Family	0024170871	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	068002213	OTHER	KANSAS	MEDICARE PTAN
2	201007510A	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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