Active NPI
Carolyn Walter, FNP
- Family Nurse Practitioner
- Christiansburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024166954
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104846948 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- Quality
- 78.67
- Improvement activities
- 40
- Cost
- 83.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024166954 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Virginia LLC | Family | Current | Accepting new patients |
| Minuteclinic Primary Care - Virginia PLLC | Family | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.