KIMBERLY H. BUZZELLI NPI 1063794212

NPI Information

  • NPI: 1063794212
  • Provider Name: KIMBERLY H. BUZZELLI
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3300 RIVERMONT AVE
    LYNCHBURG, VA
    ZIP 24503
  • Phone: (434) 200-5999

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NPI Details

Kimberly H. Buzzelli is a psychiatric/mental health nurse practitioner in Lynchburg, VA with 14 years of experience. Kimberly H. Buzzelli NPI is 1063794212. 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:

3300 RIVERMONT AVE
LYNCHBURG, VA
ZIP 24503-030
Phone: (434) 200-5999

The NPI 1063794212 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 9/14/2011 and was last updated on 9/14/2011.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health0024169642VIRGINIAYes

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
1C09704MEDICARE PIN
2DE2814MEDICARE PIN

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: 3/30/2025

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