Active NPI
Kaitlyn Paxton Webster, CRNA
- Certified Registered Nurse Anesthetist
- Palmyra, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 7661
- Practice address
- 542 Jefferson Dr
Palmyra, VA 22963-2907 - Phone
- (336) 601-5109
- NPI assigned
- Jan 24, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001315718 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 7661 | NC | Primary |
Addresses
Primary practice location
542 Jefferson Dr
Palmyra, VA 22963-2907
Mailing address
542 Jefferson Dr
Palmyra, VA 22963-2907
Phone (336) 601-5109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001315718 | VA | MD | Registered Nurse |
| 7661 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health New Hanover Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| Pender Memorial Hospital Incorporated | Current | Accepting new patients | |
| Pender Memorial Hospital, Incorporated | Current | Accepting new patients |
Locations
507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451
105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
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.
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1750978839
Nurse Anesthetist, Certified Registered
-
dba Novant Health Pender Medical Center
- Critical Access Hospital
- Burgaw, NC
- NPI 1053444901
-
dba Novant Health New Hanover Wound Care and Hyperbaric Medicine Profee
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wilmington, NC
- NPI 1932958584
-
dba Novant Health Pender Medical Center
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1427764380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 JEFFERSON DR",
"city": "PALMYRA",
"state": "VA",
"postal_code": "229632907",
"telephone_number": "336-601-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "542 JEFFERSON DR",
"city": "PALMYRA",
"state": "VA",
"postal_code": "229632907",
"telephone_number": "336-601-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "KAITLYN",
"middle_name": "PAXTON",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001315718",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "7661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmyra, VA
- Tidewater Physical Therapy, LLC (Pantops Physical Therapy)
- Vantage Medical Trans
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy # 00947)
- Denise M Wall, LPN, IBCLC, RLC
- Susan W. Watkins, PT
- Douglas Floyd Weiss, OD
- Victoria Molnar Weiss, OD
- Michelle Wellman, RPH
- Richard E. Wells Jr., D.C.
- Aisha Nicole Williams-Cusano, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.