NPIMap

Individual provider Active NPI

Kristin McKinley Anderson, MD

  • Family Medicine Physician
  • Falls Church, VA
National Provider Identifier
1073633970
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101244667 Issued in VA
Practice address
6196 Arlington Blvd
Falls Church, VA 22044-2902
Phone
(703) 237-3446
NPI assigned
Apr 2, 2007
Last updated
Feb 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101244667 VA Primary
Public Health & General Preventive Medicine Physician 2083P0901X 0101244667 VA

Addresses

Primary practice location

6196 Arlington Blvd
Falls Church, VA 22044-2902

Mailing address

6196 Arlington Blvd
Falls Church, VA 22044-2902
Phone (703) 237-3446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130215000086 MT Practitioner - Family PracticePractitioner - Preventive Medicine 7517111719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine
Education
Geisel School of Medicine at Dartmouth, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RCHP Billings - Missoula LLCGroup PAC ID 8426370842, 69 clinicians

Practice addresses (Care Compare)

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-3914

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101244667VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP Billings - Missoula LLC Current Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Jan 16, 2015 Accepting new patients
Bailey's Health Center Past Accepting new patients
Living Centre Limited Past Accepting new patients
Missoula SNF Operations, LLC Past Accepting new patients
Community Nursing Inc. Past Accepting new patients
Medmark Services Inc Past Accepting new patients

Locations

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

2831 Fort Missoula Rd
Ste 102
Missoula, MT 59804
Phone (406) 327-3819

2831 Fort Missoula Rd
Ste 146
Missoula, MT 59804
Phone (406) 327-3850

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1073633970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196 ARLINGTON BLVD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442902",
            "telephone_number": "703-237-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 ARLINGTON BLVD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442902",
            "telephone_number": "703-237-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KRISTIN",
        "middle_name": "MCKINLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101244667",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "VA",
            "license": "0101244667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.