Active NPI
Kristina Marie Waugh, FNP-C
- Family Nurse Practitioner
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168248
- Practice address
- 607 E Jubal Early Dr
Winchester, VA 22601-5178 - Phone
- (540) 536-2232
- NPI assigned
- Apr 28, 2009
- Last updated
- Mar 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024168248 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| War Memorial Hospital Inc | Current | Accepting new patients | |
| Post Acute Telehealth PC | Family | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | 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
- 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.
-
dba Valley Health War Memorial Hospital Multispecialty Clinic
- Internal Medicine Physician
- Berkeley Springs, WV
- NPI 1780904961
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
dba Valley Health Quick Care
- Urgent Care Clinic/Center
- Strasburg, VA
- NPI 1063666196
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.