Individual provider Active NPI

Kristina Marie Waugh, FNP-C

  • Family Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1033353602
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168248 Issued in VA
Practice address
607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone
(540) 536-2232
NPI assigned
Apr 28, 2009
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024168248 VA Primary

Addresses

Primary practice location

607 E Jubal Early Dr
Winchester, VA 22601-5178

Mailing address

258 Top Meadow LN
Berkeley Springs, WV 25411-6662
Phone (304) 261-0495

Other names 1

  • Mrs. Kristina Waugh Davis Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kwaugh124212@soc.inova.org
Direct Messaging Address kwaugh124212@soc.inova.org
Direct Messaging Address kwaugh124212@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, MD, DC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20091030000083 VA Practitioner - Nurse Practitioner 5496892036 Reassigns benefits to 1 organization
I20101102001565 WV Practitioner - Nurse Practitioner 5496892036 Reassigns benefits to 3 organizations
I20120424000563 MD Practitioner - Nurse Practitioner 5496892036 Reassigns benefits to 1 organization
I20260219001154 DC Practitioner - Nurse Practitioner 5496892036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

PO Box
Cincinnati, OH 45263

PO Box
Suite 301
Geraldine, MT 59446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024168248VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
War Memorial Hospital Inc CurrentSince Jul 28, 2010 Accepting new patients
Post Acute Telehealth PC Family CurrentSince Sep 27, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 28, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 28, 2023 Accepting new patients
Valley Regional Enterprises, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

1234 Washington Rd
Westminster, MD 21157
Phone (410) 848-0700

6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000

287 E South Blvd
Petersburg, VA 23805
Phone (804) 562-6618

1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234

3774 Valley Rd
Berkeley Springs, WV 25411
Phone (304) 258-9433

183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: kwaugh124212@soc.inova.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1033353602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 TOP MEADOW LN",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254116662",
            "telephone_number": "304-261-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E JUBAL EARLY DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015178",
            "telephone_number": "540-536-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwaugh124212@soc.inova.org",
            "affiliation": "N",
            "address_1": "3774 Valley Rd",
            "city": "Berkeley Springs",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254114614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwaugh124212@soc.inova.org",
            "affiliation": "N",
            "address_1": "351 N Pennsylvania Ave",
            "city": "Hancock",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217501046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwaugh124212@soc.inova.org",
            "affiliation": "N",
            "address_1": "1 Healthy Way",
            "city": "Berkeley Springs",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254117463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "DAVIS",
            "middle_name": "WAUGH",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.