Individual provider Active NPI

Brittany Caradine, CPNP-PC

  • Pediatric Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1083193908
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024188892 Issued in VA
Practice address
6354 Walker LN Ste 210
Alexandria, VA 22310-3255
Phone
(703) 971-6900
NPI assigned
Aug 10, 2018
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024188892 VA Primary

Addresses

Primary practice location

6354 Walker LN Ste 210
Alexandria, VA 22310-3255

Mailing address

6354 Walker LN Ste 210
Alexandria, VA 22310-3255
Phone (703) 971-6900

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024188892VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trusted Doctors LLC PastSince Jan 14, 2024 Accepting new patients
Above & Beyond Pediatrics Past Accepting new patients

Organizations & group practices 2

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1083193908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6354 WALKER LN STE 210",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103255",
            "telephone_number": "703-971-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6354 WALKER LN STE 210",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103255",
            "telephone_number": "703-971-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARADINE",
        "first_name": "BRITTANY",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024188892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.