DR. KELLY KENNETT LASTRAPES M.D.
NPI 1760642953
Pediatrics - Pediatric Hematology-Oncology in Richmond, VA

Active since June 11, 2008PECOS Enrolled
1250 E MARSHALL ST, DEPT. OF PEDIATRICS:ONCOLOGY/HEMATOLOGY, RICHMOND, VA 23298(804) 828-9605(804) 828-0504 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Kennett Lastrapes M.d. NPPES

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

DR. KELLY KENNETT LASTRAPES M.D. (NPI 1760642953) is an individual pediatric hematology-oncology provider in Richmond, Virginia, licensed in Virginia (0101251167) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760642953
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. KELLY KENNETT LASTRAPESCredential: M.D.
Location Address1250 E MARSHALL ST, DEPT. OF PEDIATRICS:ONCOLOGY/HEMATOLOGYRichmond, VA 23298-5051
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Fax(804) 828-0504
Sole ProprietorNo
Enumeration DateJune 11, 2008
Last NPPES UpdateOctober 5, 2016
NPI 1760642953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in VA · 0101251167
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 0101251167 (VA)
1250 E MARSHALL ST, Richmond, VA 23298

Other Names 1

Former Name (1)Dr. Kelly Lynn Kennett M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kelly Kennett Lastrapes M.d. 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.

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.

Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Nurse Practitioner (Family)
1250 E MARSHALL ST, GENERAL MEDICINE
RICHMOND, VA 23298
Internal Medicine
1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298
Nurse Practitioner (Family)
1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICS
RICHMOND, VA 23298
Internal Medicine (Geriatric Medicine)
1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE
RICHMOND, VA 23298
Physician Assistant
1250 E MARSHALL ST, EMERGENCY MEDICINE
RICHMOND, VA 23298
Nurse Practitioner (Acute Care)
1250 E MARSHALL ST
RICHMOND, VA 23298
Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298

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 Kelly Lastrapes's NPI number?

The NPI number for Kelly Lastrapes is 1760642953. It was assigned to this individual provider in the NPPES registry on June 11, 2008. The provider is also known as Dr. Kelly Lynn Kennett M.D..

Where is Kelly Lastrapes located?

Kelly Lastrapes practices at 1250 E Marshall St Dept. Of Pediatrics:oncology/Hematology, Richmond, VA 23298. The listed phone number is (804) 828-9605.

What is Kelly Lastrapes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Kelly Lastrapes enrolled in Medicare?

Yes. Kelly Lastrapes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Lastrapes was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.