Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kailen Danielle Rambo

Individual provider Emergency Registered Nurse · NPI 1124844204

Kailen Danielle Rambo is a Nurse Practitioner in Pennington Gap, Virginia. Qualified in 2022, 4 years ago. Practices with Western Virginia Regional Emergency Physicians LLC, a 90-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
4
Licensed in
TN, VA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone: (276) 299-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024192250 (VA)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 264272 (TN)

Record details

NPI number1124844204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2024
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address163 Woodland Dr, Johnson City, TN 37601-5453

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Western Virginia Regional Emergency Physicians Llc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount