Healthcare Provider Details

I. General information

NPI: 1932139680
Provider Name (Legal Business Name): KRISTINE LYDIA BIGGIE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHOP, 34TH STREET AND CIVIC CENTER BLVD. TRAUMA PROGRAM, ROOM 1020
PHILADELPHIA PA
19104-4399
US

IV. Provider business mailing address

505 S TANEY ST
PHILADELPHIA PA
19146-1044
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-4872
  • Fax: 215-590-4754
Mailing address:
  • Phone: 215-546-4697
  • Fax: 215-590-4754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN353629L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberSP005932D
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: