Active NPI
Kristi M Phillips, NP-C
- Adult Health Nurse Practitioner
- Sterling, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0024175482
- Practice address
- 22000 Dulles Retail PLZ Ste 124
Sterling, VA 20166-2515 - Phone
- (703) 282-5338
- NPI assigned
- Feb 21, 2013
- Last updated
- Mar 18, 2024
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024175482 | VA | Primary |
Addresses
Primary practice location
22000 Dulles Retail PLZ Ste 124
Sterling, VA 20166-2515
Mailing address
22908 Bollinger Ter
Brambleton, VA 20148-1733
Phone (601) 942-7502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024175482 | Other | VA | VA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Atlantic Knee Restoration & Regenerative Medicine - Richmond | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Jackson Anesthesia Pain Center, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Newbridge Anesthesia LLC | Past | Accepting new patients | |
| Newbridge Spine and Pain Center of Virginia LLC | Past | Accepting new patients |
Locations
133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140
196 Thomas Johnson Dr
Ste 215
Frederick, MD 21702
Phone (301) 668-9988
11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
8644 Sudley Rd
#220
Manassas, VA 20110
7481 Right Flank Rd
Ste 100
Mechanicsvlle, VA 23116
Phone (804) 616-4515
Interoperability endpoints
- kristi.phillips.1@32911.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Mechanicsville, VA
- NPI 1093387748
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Specialist
- Leesburg, VA
- NPI 1952739203
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Pain Medicine Physician
- Jackson, MS
- NPI 1104166362
-
- Specialist
- Frederick, MD
- NPI 1891931556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1952641433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22908 BOLLINGER TER",
"city": "BRAMBLETON",
"state": "VA",
"postal_code": "201481733",
"telephone_number": "601-942-7502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22000 DULLES RETAIL PLZ STE 124",
"city": "STERLING",
"state": "VA",
"postal_code": "201662515",
"telephone_number": "703-282-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "KRISTI",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-21",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024175482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA LICENSE",
"identifier": "0024175482",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, VA
- Randall S Peyton, M.D.
- Caitlin Pfeiffer, MS, CF-SLP
- David Christian Pfohl Sr., DMD
- Phuong Bich Pham
- Philip I. Koh, DDS, MSD, PC (Sterling Dental Center)
- Alvin Wei Qi Phua, PSY.D.
- Physical Restoration and Sports Medicine LLC
- Phystech LLC (Vitality Rehabilitation)
- Valerie Piccolo, PA
- Kirsten L Pierson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.