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

Marietah Kilundo

Individual provider Acute Care Nurse Practitioner · NPI 1750028759

Marietah Kilundo is a Nurse Practitioner in Quinton, Virginia. Qualified in 2018, 8 years ago. Practices with Lake Spring Physician Services, LLC, a 89-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2022

Practice location Address checks out

11300 Continental Rd
Quinton, VA 23141-2132
Phone: (804) 694-9585
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024178842 (VA)

Record details

NPI number1750028759
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2022
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022
Mailing address11300 Continental Rd, Quinton, VA 23141-2132

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lake Spring Physician Services, Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount