Individual provider Active NPI

Kristin Whitley

  • Adult Health Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1801543756
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024182198 Issued in VA
Practice address
4815 1St St N
Arlington, VA 22203-2603
Phone
(703) 536-5900
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024182198 VA Primary

Addresses

Primary practice location

4815 1St St N
Arlington, VA 22203-2603

Mailing address

4815 1St St N
Arlington, VA 22203-2603
Phone (703) 536-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230127001047 DC Practitioner - Nurse Practitioner 4385015445 Reassigns benefits to 2 organizations
I20230224002190 VA Practitioner - Nurse Practitioner 4385015445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1860 Town Ctr Dr
Suite 300
Reston, VA 20190-5900
Phone (703) 435-6604

44095 Pipeline PLZ
Suite 370
Ashburn, VA 20147-7518
Phone (703) 435-6604

7508 Iron Bar LN
Gainesville, VA 20155-2999
Phone (703) 490-6726

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Full Motion Life & Sport PLLC CurrentSince Sep 10, 2023 Accepting new patients
Town Center Orthopaedic Associates PC CurrentSince Jan 17, 2023 Accepting new patients
Town Center Orthopaedic Associates, P.C. CurrentSince Jan 17, 2023 Accepting new patients
Full Motion Integrated Medicine, LLC CurrentSince Mar 13, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 18, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 18, 2025 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

4815 1st St N
Arlington, VA 22203
Phone (703) 536-5900

44095 Pipeline Plz
Ste 370
Ashburn, VA 20147
Phone (571) 623-3500

6201 Centreville Rd
Ste 600
Centreville, VA 20121
Phone (571) 261-6177

11166 Fairfax Blvd
Ste 400
Fairfax, VA 22030
Phone (571) 367-9849

1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684

Organizations & group practices 6

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1801543756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 1ST ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032603",
            "telephone_number": "703-536-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 1ST ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032603",
            "telephone_number": "703-536-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024182198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.