Kristina Tait, DNP, RN
Registered Nurse in Philadelphia, PA. Individual provider (NPI-1).
NPI number1104775634
StatusActive
Last updated in NPPESJan 27, 2026
Details
- NPI
- 1104775634
- Entity type
- Individual (NPI-1)
- Name
- Kristina Tait
- Credential
- DNP, RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2026
- Certification date
- Jan 27, 2026
- Last updated
- Jan 27, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN616043 | PA | Yes |
Practice location
3900 Woodland AvePhiladelphia, PA 19104-4551
Phone 215-823-5800
Mailing address
3900 Woodland AvePhiladelphia, PA 19104-4551
Phone 215-823-5800
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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