Individual provider Active NPI

Kristina Oliver, NP

  • Adult Health Nurse Practitioner
  • West Chester, PA
National Provider Identifier
1649810839
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP020832 Issued in PA
Practice address
800 W Miner St
West Chester, PA 19382-2149
Phone
(610) 405-8087
NPI assigned
Jan 15, 2020
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP020832 PA Primary
Gerontology Nurse Practitioner 363LG0600X SP020832 PA
Primary Care Nurse Practitioner 363LP2300X SP020832 PA

Addresses

Primary practice location

800 W Miner St
West Chester, PA 19382-2149

Mailing address

1226 S Westtown Rd
West Chester, PA 19382-8566
Phone (610) 405-8087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200608002541 PA Practitioner - Nurse Practitioner 7719308220 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sozen Integrative Health and Wellness LLCGroup PAC ID 7517358351, 13 clinicians

Practice addresses (Care Compare)

2050 Diamond Rock Hill Rd
Malvern, PA 19355-9529
Phone (484) 819-0411

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality NP Group LLC Adult Health CurrentSince Apr 1, 2023 Accepting new patients
Jeffersonville Family and Geriatric Medicine, LLC CurrentSince Jun 1, 2020 Accepting new patients
Family Practice of Jeffersonville, LLC CurrentSince Jun 1, 2020 Accepting new patients
Sozen Integrative Health and Wellness LLC CurrentSince May 16, 2023 Accepting new patients

Locations

685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855

190 W Germantown Pike
Ste 155
Norristown, PA 19401
Phone (610) 229-9060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25070/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, 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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1649810839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 S WESTTOWN RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828566",
            "telephone_number": "610-405-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MINER ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193822149",
            "telephone_number": "610-405-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP020832",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP020832",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP020832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.