Active NPI
Kristie Lynn Markham, RNC, MED, MSN, FNP
- Family Nurse Practitioner
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024166116
- Practice address
- 2015 Tate Springs Rd Lowr Level Suite 2
Lynchburg, VA 24501-1111 - Phone
- (434) 528-9075
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024166116 | VA | Primary |
Addresses
Primary practice location
2015 Tate Springs Rd Lowr Level Suite 2
Lynchburg, VA 24501-1111
Mailing address
1129 Hawthorn Road
P.O. Box 253
Big Island, VA 24526
Phone (434) 299-5609
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024166116 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Advocates for Children | Past | Accepting new patients | |
| A G Jefferson Inc | Past | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients |
Locations
131 Jones St
Appomattox, VA 24522
Phone (434) 332-7367
1175 Corporate Park Dr
Forest, VA 24551
Phone (434) 525-6964
1088 London Links Dr
Forest, VA 24551
Phone (434) 534-6868
527 Pocket Rd
Hurt, VA 24563
Phone (434) 324-9150
2832 Candlers Mountain Rd
Lynchburg, VA 24502
Phone (434) 239-3949
2215 Landover Pl
Lowr
Lynchburg, VA 24501
2019 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 845-7035
205 Archway Ct
Lynchburg, VA 24502
8644 Sudley Rd
#220
Manassas, VA 20110
8700 Sudley Rd
#220
Manassas, VA 20110
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- kristie.markham.1@8042.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Optician
- Lynchburg, VA
- NPI 1093727562
-
- Pediatrics Physician
- Lynchburg, VA
- NPI 1922180611
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174604656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 HAWTHORN ROAD",
"address_2": "P.O. BOX 253",
"city": "BIG ISLAND",
"state": "VA",
"postal_code": "24526",
"telephone_number": "434-299-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 TATE SPRINGS RD LOWR LEVEL SUITE 2",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011111",
"telephone_number": "434-528-9075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKHAM",
"first_name": "KRISTIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RNC, MED, MSN, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024166116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.