Individual provider Active NPI

Khristina L. Nava, PHD

  • Clinical Psychologist
  • Fort Meade, MD
National Provider Identifier
1568952695
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05930 Issued in MD
Practice address
2902 2ND Army Dr Unit B
Fort Meade, MD 20755-2028
Phone
(301) 575-6091
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 05930 MD Primary

Addresses

Primary practice location

2902 2ND Army Dr Unit B
Fort Meade, MD 20755-2028

Mailing address

2902 2ND Army Dr Unit B
Fort Meade, MD 20755-2028
Phone (301) 575-6091

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
05930MDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1568952695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 2ND ARMY DR UNIT B",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207552028",
            "telephone_number": "301-575-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 2ND ARMY DR UNIT B",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207552028",
            "telephone_number": "301-575-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVA",
        "first_name": "KHRISTINA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Meade, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.