Individual Healthcare Provider
Kristin Struck, CPNP
Provider's NPPES record last updated: July 15, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003662040
- Primary Specialty
- Nurse Practitioner — Pediatrics
- Practice Location
- Richmond, Virginia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 11:54 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Pediatrics
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0200X
Provider-Reported License Information
- Nurse Practitioner (Virginia)
- 0024180537
Practice Locations
Practice Location
1000 E Broad St
Richmond, Virginia 23219-1930
Phone: (804) 828-2467
Additional Practice Location
1200 E Broad St # 980251
Richmond, Virginia 23298-5025
Phone: (804) 564-1514
Additional Practice Location
9109 Stony Point Dr
Richmond, Virginia 23235-1979
Phone: (804) 828-2467
Fax: (804) 828-4180
Record Information
- Enumeration Date
- April 29, 2024
- Provider's NPPES Record Last Updated
- July 15, 2024
- Certification Date
- July 15, 2024
- NPISignal NPPES Dataset
- August 2026
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