Individual provider Active NPI

Carolyn C Gartner, PA-C

  • Health & Wellness Coach
  • Cross Junction, VA
National Provider Identifier
1073592705
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
509 Northwood Cir
Cross Junction, VA 22625-2537
Phone
(304) 579-7960
NPI assigned
Jan 11, 2006
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110840186 VA
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

509 Northwood Cir
Cross Junction, VA 22625-2537

Mailing address

509 Northwood Cir
Cross Junction, VA 22625-2537
Phone (540) 539-6656

Other practice location 1

3050 Valley Ave Ste 102
Winchester, VA 22601-2668
Phone (540) 667-5809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1073592705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 NORTHWOOD CIR",
            "city": "CROSS JUNCTION",
            "state": "VA",
            "postal_code": "226252537",
            "telephone_number": "540-539-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 NORTHWOOD CIR",
            "city": "CROSS JUNCTION",
            "state": "VA",
            "postal_code": "226252537",
            "telephone_number": "304-579-7960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Valley Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012668",
            "country_code": "US",
            "telephone_number": "540-667-5809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARTNER",
        "first_name": "CAROLYN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110840186",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross Junction, VA

Sources for this page

Verify at the official NPI Registry.