Individual provider Active NPI

Kristie Lynn Markham, RNC, MED, MSN, FNP

  • Family Nurse Practitioner
  • Lynchburg, VA
National Provider Identifier
1174604656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166116 Issued in VA
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

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823000547 VA Practitioner - Nurse Practitioner 8820383375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024166116VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 29, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 29, 2016 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

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.