NICOLE D. KEMP (NPI# 1447590641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447590641 |
| Entity Type | Individual |
| Full Name | NICOLE D. KEMP |
| Other Name | NICOLE D. EMERSON |
| Credential | APRN |
| Practice Address |
1314 Peters Creek Rd Nw Roanoke VA 24017-2500 |
| Practice Telephone | 5405625700 |
| Mailing Telephone | 5405625700 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 53-75815-061 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024170871 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE PTAN | 068002213 | 01 |
| KS | 201007510A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5060 Valley View Blvd Nw, Roanoke, VA 240122038 | 5402781051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801348602 | Nicole Degraffenreid Kemp | Specialist | 3480 Greenbriar Pkwy, Suite 117, Atlanta, GA 30331 | 2016-10-27 |
| 1275999500 | Nicole Rae Kemp | Public Health or Welfare | 422 E Douglas St., O'neill, NE 68763 | 2015-12-31 |
| 1184908527 | Nicole Leticia Kemp | Licensed Practical Nurse | 10 Revere Pl, Brooklyn, NY 11213-1586 | 2011-10-04 |
| 1740488188 | Nicole L Kemp | Physical Therapy Assistant | 270 N St., Fountain City, WI 54629 | 2007-07-06 |
| 1982110508 | Nicole Kemp | Counselor | 7 N Cocoa Blvd, Cocoa, FL 32922-7749 | 2017-12-19 |
| 1568654770 | Nicole D Kemp | Dietitian, Registered | 3330 Grant Ave, Philadelphia, PA 19114-2600 | 2007-08-11 |
| 1417015736 | Nicole Kemp | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2006-12-06 |
| Street Address |
1314 PETERS CREEK RD NW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24017-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532921 | David S. Gregory | Family Medicine | 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 | 2005-07-15 |
| 1891181228 | Briana Mary Beach | Family Medicine | 1314 Peters Creek Rd Nw, Roanoke, VA 24017 | 2015-04-13 |
| 1134538663 | Laura Daniels | Psychologist | 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 | 2014-08-08 |
| 1881031839 | Kristin Anne Liebrecht | Family Medicine | 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 | 2013-05-31 |
| 1053755298 | Suman Deep Matiana | Student in an Organized Health Care Education/Training Program | 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 | 2013-04-18 |
| 1891054938 | Sean Pham | Student in an Organized Health Care Education/Training Program | 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 | 2012-05-09 |
| 1386901932 | Ariel Capili | Family Medicine | 1314 Peters Creek Rd Nw, Roanoke, VA 24017 | 2012-04-20 |
| 1447538368 | Eugene A. Bondarev | Student in an Organized Health Care Education/Training Program | 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 | 2011-07-26 |
| 1700177078 | Niranjana Cohen | Student in an Organized Health Care Education/Training Program | 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 | 2011-04-21 |
| 1851611834 | Phillip Micheal Hobbs | Family Medicine | 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 | 2010-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083132450 | Kuumba Community Health & Wellness Center, Inc. | Pharmacy | 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 | 2017-09-06 |
| 1467880484 | Mitzi Cotton | Social Worker | 2021 Dansbury Drive, Roanoke, VA 24017 | 2013-10-30 |
| 1598002818 | Stacey Queen Graham | Occupational Therapist | 4550 Shenadoah Ave, Roanoke, VA 24017 | 2013-01-07 |
| 1366760506 | Tammy L Tomlinson | Physical Therapist | 4550 Shenandoah Avenue, Virginia Veterans Care Center, Roanoke, VA 24017 | 2010-05-12 |
| 1588817712 | Delphine Anita Childress | Registered Nurse | 2111 Temple Drive Nw, Roanoke, VA 24017 | 2008-10-31 |
| 1447471933 | Cathy Lucas | Physical Therapy Assistant | 4550 Shenandoah Ave, Roanoke, VA 24017 | 2007-05-01 |
| 1134214968 | Planned Parenthood South Atlantic | Clinic/Center | 2207 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-10-04 |
| 1871684902 | Janet Susan Sprouse | Counselor | 1301 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-09-27 |
| 1497764906 | B Alison Allsbrook | Social Worker | 3716 Melrose Avenue, Nw, Roanoke, VA 24017 | 2006-08-05 |
| 1427027341 | Goodwill Industries of The Valleys - Roanoke | Day Training, Developmentally Disabled Services | 2502 Melrose Avenue Nw, Roanoke, VA 24017 | 2006-03-14 |
| Find all providers in zip 24017 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1912512856 | Jennifer Larson | Nurse Practitioner | 8325 Barrens Rd, Roanoke, VA 24019-6701 | 2020-09-08 |
| 1356953053 | Jamie Brackenrich | Nurse Practitioner | 6994 Dawnwood Rd, Roanoke, VA 24018-6839 | 2020-08-24 |
| 1164044608 | Denise Pollock | Nurse Practitioner | 6032 Matisse Ln, Roanoke, VA 24018-5335 | 2020-05-07 |
| 1538703061 | Erin Moyer Shinault | Nurse Practitioner | 3559 Meadowlark Rd, Roanoke, VA 24018-5007 | 2019-10-28 |
| 1972146421 | Amy Rose Gregor | Nurse Practitioner | 15645 Pioneer Bluff Trl, Roanoke, TX 76262-1799 | 2019-10-28 |
| 1811409402 | Victor Cisneros | Nurse Practitioner | 3535 Franklin Rd Sw, Roanoke, VA 24014-2255 | 2017-11-03 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1578009346 | Debra Jean Massaro | Nurse Practitioner | 123 Sesame St., Roanoke, VA 24011 | 2017-01-17 |
| 1407216831 | Keri Lynn Baker | Nurse Practitioner | 1 Riverside Cir Fl 4, Roanoke, VA 24016-4961 | 2016-02-26 |
| Find all providers in ROANOKE | ||||
Please comment or provide details below to improve the information on NICOLE D. KEMP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.