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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLEN JAMES SQUIRE
NPI 1487563458
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since September 03, 2026
225 JEANETTE LANCASTER WAY, CHARLOTTESVILLE, VA 22903(434) 297-6600 Get Directions Write a Review

NPPES record added: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kellen James Squire NPPES

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

KELLEN JAMES SQUIRE (NPI 1487563458) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1487563458
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKELLEN JAMES SQUIRE
Location Address225 JEANETTE LANCASTER WAYCharlottesville, VA 22903-3387
Mailing Address225 Jeanette Lancaster WayCharlottesville, VA 22903-3387
Phone(434) 297-6600
Sole ProprietorYes
Enumeration DateSeptember 3, 2026
NPPES CertifiedSeptember 3, 2026
✔ NPI 1487563458 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.
225 JEANETTE LANCASTER WAY, Charlottesville, VA 22903
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARRIE BYRNE
Family Medicine
225 JEANETTE LANCASTER WAY
CHARLOTTESVILLE, VA 22903
Charlottesville City (757) 621-8090
GRACE ELAINE BRINSON
Student in an Organized Health Care Education/Training Program
225 JEANETTE LANCASTER WAY
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 297-6600
KENIA TORRES
Student in an Organized Health Care Education/Training Program
225 JEANETTE LANCASTER WAY
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 297-6600
MS. BRIGITH NICOLE BAUTISTA ORTIZ BSN, RN
Student in an Organized Health Care Education/Training Program
225 JEANETTE LANCASTER WAY
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 297-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellen Squire's NPI number?

The NPI number for Kellen Squire is 1487563458. It was assigned to this individual provider in the NPPES registry on September 3, 2026.

Where is Kellen Squire located?

Kellen Squire practices at 225 Jeanette Lancaster Way, Charlottesville, VA 22903. The listed phone number is (434) 297-6600.

What is Kellen Squire's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kellen Squire was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.