Carla Tate, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024181100 Issued in VA

Practice address

8315 Lee Hwy Ste 202
Fairfax, VA 22031-2215

Phone

(703) 798-2695

NPI assigned

Mar 25, 2021

Last updated

Mar 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prestige Medical House Call LLCGroup PAC ID 1658704036, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prestige Medical House Call LLC

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1497316269

  DC

  Medicare reassignment Care Compare group NPD
• Pro Healthcare Servicing, LLC

  • Home Health Agency
  • Fairfax, VA
  • NPI 1184879975
  NPD (past)
• Pro Healthcare Servicing, LLC

  • Home Health Agency
  • Fredericksburg, VA
  • NPI 1952713117
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1033796065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 TAFFY CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934182",
            "telephone_number": "703-798-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 LEE HWY STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312215",
            "telephone_number": "703-798-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "CARLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F03210455",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Tapp
• Mohamed Tarey
• Maryanne Tarkington, MD
• Katrina Taschman, LMFT
• Hunter Scott Tashman, M.D.
• Rachel Cara Tate, DPT
• Sarah Tatlonghari
• Leonardo Tato, MPA-C
• Beverly Hubble Tauke, LCSW
• Monya Tavakoli, DC

• Family Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.