KRISTYN JANINE CHILDRESS (NPI# 1245751874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245751874 |
| Entity Type | Individual |
| Full Name | KRISTYN JANINE CHILDRESS |
| Credential | NP-C |
| Practice Address |
14500 Needham Market Rd Midlothian VA 23112-1683 |
| Practice Telephone | 8046396130 |
| Mailing Telephone | 8046396130 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024175019 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14500 NEEDHAM MARKET RD |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799917 | Darnesha Shaunte Clanton | Nurse Practitioner | 401 Rockaway Dr, Midlothian, TX 76065-1199 | 2020-08-03 |
| 1740816685 | Anjalyse Maria Valenti | Nurse Practitioner | 542 Glenpark Ln, Midlothian, VA 23114-3067 | 2020-03-22 |
| 1861027419 | Mussie Futwi Mebrahtu | Nurse Practitioner | 214 Canterbury Ct, Midlothian, TX 76065-1417 | 2020-03-04 |
| 1457996167 | Elizabeth Murray | Nurse Practitioner | 1230 Alverser Dr Ste 104, Midlothian, VA 23113-2653 | 2019-11-18 |
| 1487214508 | Genevieve R. Matulin | Nurse Practitioner | 14319 Jeffries Pl, Midlothian, VA 23114-4359 | 2019-06-20 |
| 1780243329 | Brandi Hartsfield | Nurse Practitioner | 531 Totten Dr, Midlothian, VA 23113-3440 | 2019-06-07 |
| 1023675741 | Aisha Tate-odom | Nurse Practitioner | 14506 Spaulding Ave, Midlothian, IL 60445-3020 | 2019-05-29 |
| 1659861961 | Shaquita I. Alexander | Nurse Practitioner | 6204 Crowne Creek Dr, Midlothian, VA 23112-8315 | 2018-05-11 |
| 1124567581 | Crystal Mann | Nurse Practitioner | 12000 Old Bailey Bridge Rd, Midlothian, VA 23112-3120 | 2017-02-18 |
| 1093197469 | Kristle Chambers | Nurse Practitioner | 14507 Lavenham Ln, Midlothian, VA 23112 | 2015-06-22 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
Please comment or provide details below to improve the information on KRISTYN JANINE CHILDRESS.
| 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.