Individual provider Active NPI

Kristin Varell Herritage, FNP, BC

  • Family Nurse Practitioner
  • Milton, DE
National Provider Identifier
1093947285
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG0000491 Issued in DE
Practice address
28312 Lewes Georgetown Hwy
Milton, DE 19968-3115
Phone
(302) 684-0990
Fax
(302) 684-0991
NPI assigned
Aug 20, 2009
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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 LG0000491 DE Primary

Addresses

Primary practice location

28312 Lewes Georgetown Hwy
Milton, DE 19968-3115

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG0000491DEMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kristin.herritage.1@13898.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1093947285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4211",
            "fax_number": "615-425-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28312 LEWES GEORGETOWN HWY",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199683115",
            "telephone_number": "302-684-0990",
            "fax_number": "302-684-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRITAGE",
        "first_name": "KRISTIN",
        "middle_name": "VARELL",
        "credential": "FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0000491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.