MEDICARE: KIERRA PICKETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor	PPS-0609224	VA

General Provider Information

NPI Number	:	1588519987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIERRA PICKETT

Provider Business Mailing Address
First Line	:	139 SKIPPERS CIR APT 12
Second Line	:
City	:	SMITHFIELD
State	:	VA
Zip	:	23430-2768
Country	:	US
Telephone Number	:	757-569-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 W 2ND AVE
Second Line	:
City	:	FRANKLIN
State	:	VA
Zip	:	23851-1713
Country	:	US
Telephone Number	:	757-569-2111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ KIERRA PICKETT ” Practice Location

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