Individual provider Active NPI

Kristen Everett

  • Child & Adolescent Psychiatry Physician
  • Washington, DC
National Provider Identifier
1437683372
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
CS220200133 Issued in DC
Practice address
5225 Wisconsin Ave NW Ste 400
Washington, DC 20015-2055
Phone
(202) 363-1010
NPI assigned
Apr 18, 2017
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X CS220200133 DC Primary

Addresses

Primary practice location

5225 Wisconsin Ave NW Ste 400
Washington, DC 20015-2055

Mailing address

5225 Wisconsin Ave NW Ste 400
Washington, DC 20015-2055
Phone (202) 363-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 14, 2023 through Jun 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CS220200133DCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Ross Center for Anxiety & Related Disorders Inc PastSince Sep 24, 2023 Accepting new patients
The Ross Center for Anxiety & Related Disorders, LLC PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 2

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1437683372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 WISCONSIN AVE NW STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152055",
            "telephone_number": "202-363-1010",
            "fax_number": "202-363-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 WISCONSIN AVE NW STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152055",
            "telephone_number": "202-363-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "DC",
            "license": "CS220200133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.