Individual provider Active NPI

Cristina May Whitt, FNP

  • Family Nurse Practitioner
  • Pulaski, VA
National Provider Identifier
1194385070
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178125 Issued in VA
Practice address
101 1St St NW
Pulaski, VA 24301-5605
Phone
(540) 980-0550
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F04190587 VA
Family Nurse Practitioner 363LF0000X 0024178125 VA Primary

Addresses

Primary practice location

101 1St St NW
Pulaski, VA 24301-5605

Mailing address

319 Brooke Elyse LN
Max Meadows, VA 24360-3547
Phone (276) 245-5663

Other identifiers 1

IdentifierTypeStateIssuer
F04190587OtherVAFAMILY NURSE PRACTITIONER LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 5409809141 Direct

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
I20191204002432 VA Practitioner - Nurse Practitioner 4183057144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

101 1St St NW
Pulaski, VA 24301-5605

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

  • Medi Home Health Agency Home health agency, Pulaski, VA, CCN 497584
  • Valley Ridge Home Health Home health agency, Christiansburg, VA, CCN 497727
  • Amedisys Home Health Care Home health agency, Roanoke, VA, CCN 497275
  • Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116
  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F04190587VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 23, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 23, 2019 Accepting new patients

Locations

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

101 1st St NW
Pulaski, VA 24301
Phone (276) 322-1800

Interoperability endpoints

  • Direct secure messaging: cristina.whitt.1@8042.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1194385070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BROOKE ELYSE LN",
            "city": "MAX MEADOWS",
            "state": "VA",
            "postal_code": "243603547",
            "telephone_number": "276-245-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1ST ST NW",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015605",
            "telephone_number": "540-980-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "CRISTINA",
        "middle_name": "MAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "F04190587",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "F04190587",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "5409809141",
            "affiliation": "N",
            "endpointDescription": "Fax or mail only",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "We can only fax through a secure line, or mail patient information",
            "address_1": "101 1st St NW",
            "city": "Pulaski",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243015605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pulaski, VA

Sources for this page

Verify at the official NPI Registry.