KRISTEN LY
NPI 1417311606
Student in an Organized Health Care Education/Training Program in Norfolk, VA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 13, 2016PECOS Enrolled

601 CHILDRENS LN, NORFOLK, VA 23507(757) 668-7272 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kristen Ly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN LY (NPI 1417311606) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417311606

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKRISTEN LY

Location Address601 CHILDRENS LNNorfolk, VA 23507-1910

Mailing Address601 Childrens LnNorfolk, VA 23507-1910 · (757) 668-7272

Phone(757) 668-7272

Sole ProprietorNo

Enumeration DateApril 13, 2016

✔ NPI 1417311606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

601 CHILDRENS LN, Norfolk, VA 23507

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Ly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.