Active NPI
Yvoune Kara Petrie, DC
- Nutrition Chiropractor
- Vienna, VA
National Provider Identifier
1003051319
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Apr 20, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- DC28717
- Practice address
- 410 Pine St SE
Suite 320
Vienna, VA 22180-4861 - Phone
- (703) 938-1421
- Fax
- (703) 938-1424
- NPI assigned
- Dec 16, 2008
- Last updated
- Jan 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC28717 | CA | Primary |
Addresses
Primary practice location
410 Pine St SE
Suite 320
Vienna, VA 22180-4861
Mailing address
41399 Avenida Barca
Temecula, CA 92591-1523
Phone (703) 462-4348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Hyperbaric Nova LLC | Past | Accepting new patients | |
| Health Builders | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Vienna, VA
- NPI 1184173403
-
- General Practice Physician
- Vienna, VA
- NPI 1568809713
-
- Specialist
- Annandale, VA
- NPI 1891027892
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Leesburg, VA
- NPI 1295495331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1003051319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41399 AVENIDA BARCA",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925911523",
"telephone_number": "703-462-4348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 PINE ST SE",
"address_2": "SUITE 320",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804861",
"telephone_number": "703-938-1421",
"fax_number": "703-938-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRIE",
"first_name": "YVOUNE",
"middle_name": "KARA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "DC28717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.