Active NPI
Kristina N Powell, M.D.
- Pediatrics Physician
- Williamsburg, VA
National Provider Identifier
1699720953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101234857
- Practice address
- 119 Bulifants Blvd
Williamsburg, VA 23188-5709 - Phone
- (757) 564-7337
- Fax
- (757) 564-3205
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101234857 | VA | Primary |
Addresses
Primary practice location
119 Bulifants Blvd
Williamsburg, VA 23188-5709
Mailing address
119 Bulifants Blvd
Williamsburg, VA 23188-5747
Phone (757) 564-7337
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54-1778786 | Other | FIRST HEALTH/MAIL HANDLER | |
| 7667523 | Other | AETNA- TRADITIONAL | |
| 54-1778786-032 | Other | CHAMPUS/TRICARE | |
| 54-1778786 | Other | VA HEALTH NETWORK | |
| 010126037 | Other | VA PREMIERE HEALTH PLAN | |
| 1110540 | Other | CIGNA | |
| 010126037 | Medicaid | VT | |
| 153982 | Other | ANTHEM | |
| 54-1778786 | Other | PHCS | |
| 54-1778786 | Other | MID ATLANTIC HEALTH SOLUT | |
| 12-03098 | Other | UNITED HEALTHCARE | |
| 25362 | Other | SENTARA/OPTIMA | |
| 3416381 | Other | AETNA HMO | |
| 54-1778786 | Other | SOUTHER HEALTH | |
| 8128045 | Other | MAMSI/MDIPA | |
| 54-1778786 | Other | CCN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Medical Group Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Virginia Beach, VA
- NPI 1366597114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1699720953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 BULIFANTS BLVD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885747",
"telephone_number": "757-564-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BULIFANTS BLVD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885709",
"telephone_number": "757-564-7337",
"fax_number": "757-564-3205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "KRISTINA",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101234857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/MAIL HANDLER",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA- TRADITIONAL",
"identifier": "7667523",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "54-1778786-032",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA HEALTH NETWORK",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIERE HEALTH PLAN",
"identifier": "010126037",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1110540",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010126037",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "153982",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MID ATLANTIC HEALTH SOLUT",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "12-03098",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA",
"identifier": "25362",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3416381",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHER HEALTH",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/MDIPA",
"identifier": "8128045",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "54-1778786",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.