Krystal Lee Needham, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011563 Issued in NC

Practice address

905 Thunder Rd Ste 140
Elizabeth City, NC 27909-7672

Phone

(252) 334-0320

NPI assigned

Mar 13, 2019

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Albemarle Physician Services - Sentara IncGroup PAC ID 8729139852, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Albemarle Home Care and Hospice Home health agency, Elizabeth City, NC, CCN 347017
• Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
• Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
• Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
• Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kneedham315214@direct.sentara.net

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.

• Albemarle Physician Services - Sentara, Inc

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1942443130

  NC

  Medicare reassignment Care Compare group NPD
• Albemarle Physician Services - Sentara, Inc

  dba Sentara Urgent Care

  • Urgent Care Clinic/Center
  • Kitty Hawk, NC
  • NPI 1306202627
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Msa Home Health and Hospice of NC Inc

  dba Albemarle Home Care and Hospice

  • Home Health Agency
  • Elizabeth City, NC
  • NPI 1588037980
  Care Compare affiliation
• Sentara Albemarle Regional Medical Center

  dba Sentara Albemarle Medical Center

  • General Acute Care Hospital
  • Elizabeth City, NC
  • NPI 1245211168
  Care Compare affiliation
• Sentara Hospitals

  dba Sentara Nightingale

  • Air Ambulance
  • Norfolk, VA
  • NPI 1235205147

  Hospital

  Care Compare affiliation
• Sentara Hospitals

  dba Sentara Obici Hospital

  • General Acute Care Hospital
  • Suffolk, VA
  • NPI 1376540138
  Care Compare affiliation
• Sentara Hospitals

  dba Sentara Norfolk General Hospital

  • General Acute Care Hospital
  • Norfolk, VA
  • NPI 1437119310
  Care Compare affiliation
• Sentara Hospitals

  dba Sentara Leigh Hospital

  • General Acute Care Hospital
  • Norfolk, VA
  • NPI 1811957681
  Care Compare affiliation

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1629537386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 THUNDER RD STE 140",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097672",
            "telephone_number": "252-334-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 THUNDER RD STE 140",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097672",
            "telephone_number": "252-334-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "KRYSTAL",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Murray, RBT
• Shannon Carey Mustico, PT
• Allison Myers, DPT
• NC Family Empowerment Zone
• Alison M Neal, PA-C
• Christina Kay Neeley, MD
• Nehemiah Christian Counseling, P.L.L.C.
• Casey Guy Nekl, M.D.
• Anne Herndon Nelson, RDH
• Sharon Elizabeth Nelson, PA-C

• Family Nurse Practitioner in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.