Individual provider Active NPI

Krista Pine, M.D.

  • Psychiatry Physician
  • Williamsburg, VA
National Provider Identifier
1215030549
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101244458 Issued in VA
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

Updated by the provider on Feb 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111118000192 VA Practitioner - Psychiatry 3971505587 Reassigns benefits to 2 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Treatment Centers VA-I, LLC CurrentSince Mar 20, 2021 Accepting new patients
Insight Physicians PC Psychiatry CurrentSince Aug 1, 2018 Accepting new patients
Virginia South Psychiatric & Family Services Psychiatry CurrentSince Mar 1, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.