Active NPI
Kristina Grace Zittle, CPM, LM
- Midwife
- Virginia Beach, VA
National Provider Identifier
1346421815
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jan 20, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 0129000032
- Practice address
- 5604 McLean CT
Virginia Beach, VA 23464-8796 - Phone
- (757) 479-1737
- NPI assigned
- Nov 26, 2007
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 0129000032 | VA | Primary |
Addresses
Primary practice location
5604 McLean CT
Virginia Beach, VA 23464-8796
Mailing address
5604 McLean CT
Virginia Beach, VA 23464-8796
Phone (757) 479-1737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0129000032 | VA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1346421815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 MCLEAN CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234648796",
"telephone_number": "757-479-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 MCLEAN CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234648796",
"telephone_number": "757-479-1737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZITTLE",
"first_name": "KRISTINA",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "VA",
"license": "0129000032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.