Individual provider Active NPI

Kristin D Negaard, M.D.

  • Family Medicine Physician
  • Hampton, VA
National Provider Identifier
1265668537
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101252482 Issued in VA
Practice address
304 Marcella Rd Ste a
Hampton, VA 23666-3115
Phone
(757) 872-3800
Fax
(757) 872-3808
NPI assigned
Jun 1, 2009
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116021272 VA
Family Medicine Physician 207Q00000X 0101252482 VA Primary

Addresses

Primary practice location

304 Marcella Rd Ste a
Hampton, VA 23666-3115

Mailing address

304 Marcella Rd Ste a
Hampton, VA 23666-2578
Phone (757) 872-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140411001160 DC Practitioner - Family Practice 6608008313
I20140415000926 VA Practitioner - Family Practice 6608008313 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101252482VAMDFamily Medicine Physician
0116021272VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Institute for Community Health Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristin.negaard.1@25562.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1265668537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MARCELLA RD STE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662578",
            "telephone_number": "757-872-3800",
            "fax_number": "757-872-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MARCELLA RD STE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663115",
            "telephone_number": "757-872-3800",
            "fax_number": "757-872-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGAARD",
        "first_name": "KRISTIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116021272",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101252482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.