Krista E. Centric, PPCNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0017140197 Issued in VA

Practice address

500 Discovery Dr
Suite 302
Chesapeake, VA 23320-3871

Phone

(757) 668-2500

Fax

(757) 668-2510

NPI assigned

Sep 23, 2011

Last updated

Sep 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Childrens Hospital of the Kings Daughters Inc

  dba CHKD Urgent Care

  • Urgent Care Clinic/Center
  • Chesapeake, VA
  • NPI 1578954590
  Medicare reassignment NPD
• Childrens Specialty Group PLLC

  • Pediatrics Physician
  • Norfolk, VA
  • NPI 1255354130
  Medicare reassignment NPD
• Children's Surgical Specialty Group, Inc

  • Pediatric Surgery Physician
  • Norfolk, VA
  • NPI 1245248947
  NPD (past)
• Childrens Medical Group Inc

  dba General Booth Pediatrics

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1366597114
  NPD (past)
• Childrens Medical Group Inc

  dba Chesapeake Pediatrics

  • Pediatrics Physician
  • Chesapeake, VA
  • NPI 1538214309
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1023391380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DISCOVERY DR",
            "address_2": "SUITE 302",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203871",
            "telephone_number": "757-668-2500",
            "fax_number": "757-668-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DISCOVERY DR",
            "address_2": "SUITE 302",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203871",
            "telephone_number": "757-668-2500",
            "fax_number": "757-668-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 Battlefield Blvd S",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233226603",
            "country_code": "US",
            "telephone_number": "757-668-2500",
            "fax_number": "757-668-2520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTRIC",
        "first_name": "KRISTA",
        "middle_name": "E.",
        "credential": "PPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0017140197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Restorative, Cosmetic, and Implant Dentistry
• Center for Restorative, Cosmetic, and Implant Dentistry, PC (A Division of Atlantic Dental Care, PLC)
• Center for Visual Surgical Excellence, LLC
• Center U Wellness and Integrative Healthcare
• Centerwell Senior Primary Care VA PLLC (CenterWell Senior Primary Care-Chesapeake)
• Leon Arthur Cerniway, D.M.D.
• Jai C Cha, M.D.
• Alissa Chabi
• John Kabzeel Yesudas Chacko, M.D.
• Anjan Chakrabarti

• Pediatric Nurse Practitioner in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.