Kelly Christina Robertson, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024180381 Issued in VA

Practice address

3801 University Dr
Fairfax, VA 22030-2503

Phone

(703) 383-8130

Fax

(703) 383-7350

NPI assigned

Jan 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Christina Donaldson Former name

Medicare fee-for-service enrollment

Enrolled in VA, DC, TN3 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 3

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Otolaryngology Associates PCGroup PAC ID 8022188069, 31 clinicians

Warner Physician Services PCGroup PAC ID 0345602801, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA

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.

• Otolaryngology Associates, PC

  • Otolaryngology Physician
  • Fairfax, VA
  • NPI 1861534836

  DC

  Medicare reassignment Care Compare group NPD
• Warner Physician Services PC

  • Hospitalist Physician
  • Nashville, TN
  • NPI 1770272221
  Medicare reassignment Care Compare group NPD
• Beaman Physician Services, PC

  • Hospitalist Physician
  • Nashville, TN
  • NPI 1487342242
  Medicare reassignment NPD
• Saint Thomas Medical Partners

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669
  Medicare reassignment NPD
• Saint Thomas Medical Partners

  • Clinical Neuropsychologist
  • Nashville, TN
  • NPI 1558506980
  NPD
• Advanced Hearing Services

  • Hearing Aid Equipment
  • Fairfax, VA
  • NPI 1881022556
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Thomas West Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648
  Care Compare affiliation

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681603200000",
    "number": "1194298448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302503",
            "telephone_number": "703-383-8130",
            "fax_number": "703-383-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302503",
            "telephone_number": "703-383-8130",
            "fax_number": "703-383-7350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46165 Westlake Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Potomac Falls",
            "state": "VA",
            "postal_code": "201655872",
            "country_code": "US",
            "telephone_number": "703-444-3302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372322635",
            "country_code": "US",
            "telephone_number": "615-936-4008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KELLY",
        "middle_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000205462",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DONALDSON",
            "middle_name": "CHRISTINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jewel Francesca Roberts, LCSW
• Kenna Belle Roberts, LCSW
• Leigh Roberts, LCSW
• Natalie Anne Roberts
• Kelly Robertson
• Robin B. Merlino M.D., P.L.L.C
• Akosua Robinson
• Amoya RN Robinson, LCSW
• Brett M Robinson, M.D.
• Chloe Robinson

• 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 Apr 16, 2023; 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.