Individual provider Active NPI

Carolyn Walter, FNP

  • Family Nurse Practitioner
  • Christiansburg, VA
National Provider Identifier
1104846948
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166954 Issued in VA
Practice address
550 N Franklin St
Christiansburg, VA 24073-1916
Phone
(866) 389-2727
Fax
(401) 652-9787
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024166954 VA Primary

Addresses

Primary practice location

550 N Franklin St
Christiansburg, VA 24073-1916

Mailing address

550 N Franklin St
Christiansburg, VA 24073-1916
Phone (866) 389-2727

Other practice location 1

701 Randolph St Ste 120
Radford, VA 24141-3047
Phone (540) 731-3200

Other identifiers 1

IdentifierTypeStateIssuer
1104846948MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20061202000145 VA Practitioner - Nurse Practitioner 7113926007 Reassigns benefits to 2 organizations
I20150811004291 DC Practitioner - Nurse Practitioner 7113926007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians

Practice addresses (Care Compare)

19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727

550 N Franklin St
Christiansburg, VA 24073-1916
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
78.67
Improvement activities
40
Cost
83.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024166954VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Sep 7, 2015 Accepting new patients
Minuteclinic Primary Care - Virginia PLLC Family CurrentSince Jul 16, 2025 Accepting new patients

Locations

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

7205 Little River Tpke
Annandale, VA 22003
Phone (703) 256-4030

10250 Bristow Center Dr
Bristow, VA 20136
Phone (703) 369-1739

550 N Franklin St
Christiansburg, VA 24073
Phone (540) 381-1153

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104846948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N FRANKLIN ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731916",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N FRANKLIN ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731916",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Randolph St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Radford",
            "state": "VA",
            "postal_code": "241413047",
            "country_code": "US",
            "telephone_number": "540-731-3200",
            "fax_number": "540-639-1048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "CAROLYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104846948",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.