Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kimberly Carol Ellison, NP

Family Nurse Practitioner in Wytheville, VA · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205094174

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Registry record

Entity type Individual (Type 1)

Name Kimberly Carol Ellison

Credential NP

Sex Female

Practice address 770 W Ridge Rd Ste 220, Wytheville, VA, 24382

Phone (276) 223-3202

Enumeration date May 28, 2008

Last updated in NPPES Oct 26, 2021

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 0024167810 (VA) Primary

NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

Other identifiers

Identifier	Type	State	Issuer
Q008296	Medicaid	TN	-
1205094174	Medicaid	VA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kimberly Ellison?

The National Provider Identifier (NPI) for Kimberly Ellison is 1205094174, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kimberly Ellison practice?

The practice location on file with NPPES is in Wytheville, VA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-26.