Individual provider Active NPI

Kristen L Thompson, CPNP-PC

  • Pediatric Nurse Practitioner
  • PT Pleasant, WV
National Provider Identifier
1477284859
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
110622 Issued in WV
Practice address
2801 Jackson Ave
PT Pleasant, WV 25550-1713
Phone
(304) 675-4107
Fax
(304) 675-4233
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 110622 WV Primary

Addresses

Primary practice location

2801 Jackson Ave
PT Pleasant, WV 25550-1713

Mailing address

PO Box 1680
Huntington, WV 25717-1680

Other practice location 1

85 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 399-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808003288 WV Practitioner - Nurse Practitioner 4284016288 Reassigns benefits to 13 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
110622WVMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc CurrentSince Sep 20, 2022 Accepting new patients
Valley Health Systems, Inc CurrentSince May 1, 2025 Accepting new patients
Valley Health Systems, Inc. CurrentSince Sep 20, 2022 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc CurrentSince May 1, 2025 Accepting new patients
Valley Health Systems Inc CurrentSince Sep 20, 2022 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc CurrentSince Sep 20, 2022 Accepting new patients
Valley Health Systems, Inc. CurrentSince Sep 20, 2022 Accepting new patients
Valley Health Systems Inc CurrentSince Sep 20, 2022 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc CurrentSince Sep 20, 2022 Accepting new patients
Valley Health Systems, Inc CurrentSince Sep 20, 2022 Accepting new patients
Valley Health Systems, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Valley Health Systems Inc CurrentSince Jul 25, 2022 Accepting new patients
Valley Health Systems, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

830 Pennsylvania Ave
Ste 108
Charleston, WV 25302
Phone (304) 344-8368

830 Pennsylvania Ave
Ste 305
Charleston, WV 25302
Phone (304) 345-8107

4407 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 925-0392

1246 McClellan Hwy
Harts, WV 25524
Phone (304) 310-1246

723 9th Ave
Huntington, WV 25701
Phone (304) 529-0645

85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310

930 2nd St
Huntington, WV 25701
Phone (304) 528-2070

1 Highlander Way
Huntington, WV 25701
Phone (304) 528-6445

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

1 Timberwolf Ln
Huntington, WV 25704
Phone (304) 429-1699

3751 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 760-8703

11315 US Route 60
Ona, WV 25545
Phone (304) 743-7495

2801 Jackson Ave
Pt Pleasant, WV 25550
Phone (304) 675-4107

2501 Jackson Ave
Pt Pleasant, WV 25550
Phone (304) 675-2303

111 Great Teays Blvd
Scott Depot, WV 25560
Phone (304) 757-1907

100 Pioneer Rd
Wayne, WV 25570
Phone (304) 272-3783

Interoperability endpoints

  • Direct secure messaging: kthompson20220@valleyhealthsystems.direct-ci.com

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1477284859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257171680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 JACKSON AVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255501713",
            "telephone_number": "304-675-4107",
            "fax_number": "304-675-4233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Donohoe Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058887",
            "country_code": "US",
            "telephone_number": "304-399-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WV",
            "license": "110622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in PT Pleasant, WV

Sources for this page

Verify at the official NPI Registry.