Active NPI
Krista Pine, M.D.
- Psychiatry Physician
- Williamsburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101244458
- Practice address
- 5477 Mooretown Rd
Williamsburg, VA 23188-2108 - Phone
- (757) 565-0106
- Fax
- (757) 565-0620
- NPI assigned
- Sep 5, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101244458 | VA | Primary |
Addresses
Primary practice location
5477 Mooretown Rd
Williamsburg, VA 23188-2108
Mailing address
139 W Laydon Way
Poquoson, VA 23662-2160
Phone (757) 585-5417
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Treatment Centers VA-I, LLC | Current | Accepting new patients | |
| Insight Physicians PC | Psychiatry | Current | Accepting new patients |
| Virginia South Psychiatric & Family Services | Psychiatry | Current | Accepting new patients |
| Three Rivers Treatment Center LLC | Past | Accepting new patients |
Locations
11720 Main St
Ste 108
Fredericksburg, VA 22408
Phone (540) 735-9350
10269 Winchester Rd
Front Royal, VA 22630
Phone (540) 551-4056
207 N 4th Ave
Hopewell, VA 23860
Phone (804) 518-6513
905 Southlake Blvd
Ste C
North Chesterfield, VA 23236
Phone (804) 419-0492
269 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 861-0700
2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433
4906 Radford Ave
Richmond, VA 23230
Phone (804) 354-1996
2810 N Parham Rd
Ste 120
Richmond, VA 23294
5483 Mooretown Rd
Williamsburg, VA 23188
Phone (757) 767-5111
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142
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.
-
- Psychiatry Physician
- Richmond, VA
- NPI 1801817150
-
- Psychiatry Physician
- Petersburg, VA
- NPI 1700894466
-
- Methadone Clinic
- Front Royal, VA
- NPI 1821717067
-
- Psychiatric Residential Treatment Facility
- Kenbridge, VA
- NPI 1568827780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1215030549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 W LAYDON WAY",
"city": "POQUOSON",
"state": "VA",
"postal_code": "236622160",
"telephone_number": "757-585-5417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5477 MOORETOWN RD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231882108",
"telephone_number": "757-565-0106",
"fax_number": "757-565-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINE",
"first_name": "KRISTA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101244458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.