Provider Demographics
NPI:1083927040
Name:HILL, KRISTIN C (PNP)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:C
Last Name:HILL
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 W ATLANTIC ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-1906
Mailing Address - Country:US
Mailing Address - Phone:434-584-2000
Mailing Address - Fax:434-447-2240
Practice Address - Street 1:514 W ATLANTIC ST
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-1906
Practice Address - Country:US
Practice Address - Phone:434-584-2000
Practice Address - Fax:434-447-2240
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168854363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1083927040Medicaid
1083927040OtherNPI
VAVAA102550Medicare PIN
VA1083927040Medicare PIN
VA493869Medicare Oscar/Certification
VA1083927040Medicaid
VAC10912Medicare PIN
VA493833Medicare Oscar/Certification