KRISTINA M. KILLEN (NPI# 1194764415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194764415 |
| Entity Type | Individual |
| Full Name | KRISTINA M. KILLEN |
| Credential | CFNP |
| Practice Address |
1710 Harper Rd Beckley WV 25801-3357 |
| Mailing Address |
825 Edward Dr Daniels WV 25832-9062 |
| Practice Telephone | 3042564100 |
| Mailing Telephone | 3047631315 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2018-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 53018 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | PENDING | 05 |
| Street Address |
1710 HARPER RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316487 | Shewana C Workman | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2005-09-13 |
| 1396351151 | Jenny Lynn Williams | Nurse Practitioner | 1710 Harper Rd, Beckley, WV 25801-3397 | 2020-09-17 |
| 1588288948 | Brooklyn Paige Dillon | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2020-06-02 |
| 1922621572 | Erika Anne Ellis | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2020-05-18 |
| 1154969921 | Theodore Dhinagaran | Physical Therapist | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-12-12 |
| 1083250963 | Tanya Ann Maddy | Nurse Practitioner | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-11-26 |
| 1922667781 | Kimberly Marie Vance | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-06-06 |
| 1487213245 | Cierra Brooke Treadway | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2019-06-06 |
| 1164987582 | Eric Andrew Fleck | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2019-02-11 |
| 1164987574 | Mohammed Jaweed | Nurse Practitioner | 1710 Harper Rd, Beckley, WV 25801-3357 | 2019-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936629 | Rebecca Lyne Ratliff | Nurse Practitioner | 121 George St, Beckley, WV 25801-2607 | 2019-11-15 |
| 1750852588 | Brian Mooney | Nurse Practitioner | 310 Maryland Ave, Beckley, WV 25801-4226 | 2018-12-05 |
| 1780152330 | Rachael Alyssa Riggins | Nurse Practitioner | 1717 Harper Rd Ste E, Beckley, WV 25801-3373 | 2018-11-12 |
| 1053599118 | Daun Leah Jackson | Nurse Practitioner | 100 Heartland Drive, Heartland of Beckley, Beckley, WV 25801 | 2008-01-31 |
| 1225144603 | Tonia M Daniels | Nurse Practitioner | 321 Dry Hill Rd, Beckley, WV 25801-2601 | 2006-08-21 |
| 1811930977 | Shirley Elaine Repass | Nurse Practitioner | 124 Brookside Lane, Beckley, WV 25801 | 2006-06-14 |
| 1659326742 | Kellie Beth Vaught | Nurse Practitioner | 3155 Robert C Byrd Dr, Beckley, WV 25801-3726 | 2006-05-24 |
| 1538120415 | Lisa G. Walker | Nurse Practitioner | 2962 Robert C Byrd Dr, Beckley, WV 25801-4448 | 2006-03-30 |
| 1699389759 | Kaitlyn Caron | Nurse Practitioner | 1832 Harper Rd, Beckley, WV 25801-3366 | 2020-09-04 |
| 1669005807 | Destiny Faith Meadows | Nurse Practitioner | 1709 Harper Rd, Beckley, WV 25801-3311 | 2020-02-17 |
| Find all providers in BECKLEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.