Active NPI
Kristin Elizabeth Herbert, D.O.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 0102204147
- Practice address
- 3960 Virginia Beach Blvd
Virginia Beach, VA 23452 - Phone
- (757) 668-4648
- NPI assigned
- Jan 18, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0102204147 | VA | |
| Pediatrics Physician | 208000000X | UO3118 | FL | |
| Pediatrics Physician | 208000000X | 0102204147 | VA | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 0102204147 | VA | Primary |
Addresses
Primary practice location
3960 Virginia Beach Blvd
Virginia Beach, VA 23452
Mailing address
3960 Virginia Beach Blvd
Virginia Beach, VA 23452-2449
Other practice location 1
601 Childrens Ln
Norfolk, VA 23507-1910
Phone (757) 668-9220
Other practice location 2
7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 320-3911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Childre'S LN
Norfolk, VA 23507-1910
Phone (757) 668-7007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO3118 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Hospital of the Kings Daughters Inc | Current | Accepting new patients | |
| Childrens Hospital of the Kings Daughters Inc | Current | Accepting new patients | |
| Childrens Specialty Group PLLC | Pediatrics | Current | Accepting new patients |
| Emergency Coverage, LLC | Current | Accepting new patients |
Locations
817 Volvo Pkwy
Chesapeake, VA 23320
Phone (757) 668-4630
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
3960 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 668-4648
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Norfolk, VA
- NPI 1255354130
-
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1578954590
-
- Clinical Social Worker
- Norfolk, VA
- NPI 1467641829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1144568577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3960 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234522449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23452",
"telephone_number": "757-668-4648"
}
],
"practiceLocations": [
{
"address_1": "601 Childrens Ln",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071910",
"country_code": "US",
"telephone_number": "757-668-9220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7101 Jahnke Rd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232254017",
"country_code": "US",
"telephone_number": "804-320-3911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERBERT",
"first_name": "KRISTIN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0102204147",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "UO3118",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0102204147",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "VA",
"license": "0102204147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.