Individual provider Active NPI

Krista Autumn Satra, DC

  • Chiropractor
  • Suffolk, VA
National Provider Identifier
1164145306
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
014557856 Issued in VA
Practice address
2769 Godwin Blvd
Suffolk, VA 23434-8037
Phone
(757) 934-4653
Fax
(757) 934-4594
NPI assigned
Sep 22, 2022
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 014557856 VA Primary

Addresses

Primary practice location

2769 Godwin Blvd
Suffolk, VA 23434-8037

Mailing address

2769 Godwin Blvd
Suffolk, VA 23434-8037
Phone (757) 934-4653

Other practice location 1

3920 Bridge Rd
Suffolk, VA 23435-1107
Phone (757) 983-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230214000339 VA Practitioner - Chiropractic 3173995594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara HospitalsGroup PAC ID 3274424924, 5 clinicians

Practice addresses (Care Compare)

1060 1St Colonial Rd
Suite 1
Virginia Beach, VA 23454-3002
Phone (757) 395-8844

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014557856VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Hospitals Current Accepting new patients
Sentara Hospitals CurrentSince Oct 26, 2022 Accepting new patients
Sentara Hospitals CurrentSince Oct 26, 2022 Accepting new patients
Sentara Hospitals Past Accepting new patients

Locations

633 Battlefield Blvd S
Ste 200
Chesapeake, VA 23322
Phone (757) 233-4790

2769 Godwin Blvd
Suffolk, VA 23434
Phone (757) 934-4653

3920 Bridge Rd
Suffolk, VA 23435
Phone (757) 983-0000

1060 First Colonial Rd
#1
Virginia Beach, VA 23454
Phone (757) 395-8844

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1164145306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348037",
            "telephone_number": "757-934-4653",
            "fax_number": "757-934-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348037",
            "telephone_number": "757-934-4653",
            "fax_number": "757-934-4594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234351107",
            "country_code": "US",
            "telephone_number": "757-983-0025",
            "fax_number": "757-983-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATRA",
        "first_name": "KRISTA",
        "middle_name": "AUTUMN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "014557856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.