Krista Pembroke, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024185772 Issued in VA

Practice address

911 First Colonial Rd Ste 100
Virginia Beach, VA 23454-3111

Phone

(757) 280-4801

Fax

(757) 767-7866

NPI assigned

Dec 5, 2022

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, FL, DC3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Norfolk Psychiactric Associates PC

  • Specialist
  • Norfolk, VA
  • NPI 1922198100
  Medicare reassignment NPD
• Transforming Minds Interventional Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
  • NPI 1427773308
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Psychiatric/Mental Health

  Medicare reassignment NPD
• South Chesapeake Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
  • NPI 1033707450
  NPD
• Sublime Mind, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1396548921
  NPD

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1043920606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 FIRST COLONIAL RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543111",
            "telephone_number": "757-280-4801",
            "fax_number": "757-767-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 FIRST COLONIAL RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543111",
            "telephone_number": "757-280-4801",
            "fax_number": "757-767-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBROKE",
        "first_name": "KRISTA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024185772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica R Pelletier, MD
• Judith Peltz, MPT
• Pembroke Chiropractic, P.C.
• Pembroke Counseling Services
• Pembroke Psychotherapy LLC
• Beatriz Elena Penagos Palacios
• Ruth Marlene Pence, LCSW
• Gregory George Pendell, M.D.
• Kimberly Penerton, LPC
• Peninsula Institute for Community Health Inc

• Psychiatric/Mental Health Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.