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KIMBERLY MCKISSACK NP
NPI 1720490386
Nurse Practitioner - Primary Care in Hampton, VA

Active since May 29, 2014
100 EMANCIPATION DR, HAMPTON, VA 23667(757) 722-9961 Get Directions Write a Review

NPPES record last updated: August 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2023, Sep 21, 2019 (2 updates tracked since 2019).

About Kimberly Mckissack Np NPPES

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

KIMBERLY MCKISSACK NP (NPI 1720490386) is an individual primary care provider in Hampton, Virginia, licensed in Virginia (0024173116) and active in the NPI registry since May 2014. She maintains a secondary practice location in Hampton.

NPPES Registry Identity

NPI1720490386
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKIMBERLY MCKISSACKCredential: NP
Location Address100 EMANCIPATION DRHampton, VA 23667-3302
Mailing Address3001 W Mercury Blvd Unit CHampton, VA 23666-3930 · (757) 405-6060
Phone(757) 722-9961
Sole ProprietorYes
Enumeration DateMay 29, 2014
Last NPPES UpdateAugust 20, 20232 updates tracked since enumeration
NPPES CertifiedAugust 20, 2023
✔ NPI 1720490386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in VA · 0024173116
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024173116 (VA)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License APN0000018429 (TN)
100 EMANCIPATION DR, Hampton, VA 23667
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Secondary Practice Location 1

Location 13001 W Mercury Blvd Unit CHampton, VA 23666-3930 · Phone (757) 405-6060

Other Providers at the Same Location NPPES 20

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

MRS. ROSEMARIE TOWNSEND RN
Registered Nurse
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
REBECCA MYERS
Social Worker (Clinical)
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-4034
NYEEMA DUHART
Pharmacy Technician
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (720) 416-0236
DR. SRIDHAR MADHUNAPANTULA MD
Internal Medicine
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
MR. ANTHONY LYNN JONES RKT, CRC
Kinesiotherapist
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
MRS. TASHIKO LYNN BRADSHAW BROADHEAD LMSW
Social Worker
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
MISS TINA MARIA CROCCO LMSW
Social Worker (Clinical)
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 922-9961
TRISH TRAN
Family Medicine
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961

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 Kimberly Mckissack's NPI number?

The NPI number for Kimberly Mckissack is 1720490386. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Kimberly Mckissack located?

Kimberly Mckissack practices at 100 Emancipation Dr, Hampton, VA 23667. The listed phone number is (757) 722-9961.

What is Kimberly Mckissack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kimberly Mckissack was last updated on August 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.