Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khristina L Light

Individual provider Nurse Practitioner · NPI 1588335889

Khristina L Light is a Nurse Practitioner in Eleanor, West Virginia. Qualified in 2021, 5 years ago. Practices with Womencare Inc, a 51-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
5
Licensed in
WV
In the registry since
2021

Practice location Address checks out

503 Roosevelt Blvd
Eleanor, WV 25070-1390
Phone: (304) 757-6999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 109965 (WV)

Record details

NPI number1588335889
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2021
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023
Mailing address71 Willowood Cir, Hurricane, WV 25526-9268

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Womencare Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eleanor