Active NPI
Kristen Whitmore
- Psychologist
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1229
- Practice address
- 2004 Professional CT
Martinsburg, WV 25401-8808 - Phone
- (304) 596-5780
- Fax
- (304) 596-5781
- NPI assigned
- Mar 22, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | 1229 | WV | Primary |
Addresses
Primary practice location
2004 Professional CT
Martinsburg, WV 25401-8808
Mailing address
2004 Professional CT
Martinsburg, WV 25401-8808
Phone (304) 596-5780
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1229 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| University Healthcare Physicians, Inc. | Current | Accepting new patients | |
| University Healthcare Physicians Inc | Current | Accepting new patients |
Locations
2004 Professional Ct
Martinsburg, WV 25401
Phone (304) 263-8964
61 Campus Dr
Ste 200
Martinsburg, WV 25404
Phone (304) 274-6343
2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202
2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1659625739
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1417371329
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1780115725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 PROFESSIONAL CT",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254018808",
"telephone_number": "304-596-5780",
"fax_number": "304-596-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 PROFESSIONAL CT",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254018808",
"telephone_number": "304-596-5780",
"fax_number": "304-596-5781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMORE",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "1229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.