Individual provider Active NPI

Carolyn Gail Friedman, NP

  • Family Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1306068762
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024153108 Issued in VA
Practice address
Department of Family Medicine University of Virginia
1221 Lee Street
Charlottesville, VA 22908-0001
Phone
(434) 924-5348
Fax
(434) 982-0911
NPI assigned
May 3, 2007
Last updated
Sep 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001153108 VA
Family Nurse Practitioner 363LF0000X 0024153108 VA Primary

Addresses

Primary practice location

Department of Family Medicine University of Virginia
1221 Lee Street
Charlottesville, VA 22908-0001

Mailing address

500 Ray C. Hunt Drive
Charlottesville, VA 22903
Phone (434) 980-6140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OR, MA3 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

Enrollment IDStateProvider typePAC IDDetails
I20080118000060 VA Practitioner - Nurse Practitioner 2365523164 Reassigns benefits to 2 organizations
I20221206000146 OR Practitioner - Nurse Practitioner 2365523164 Reassigns benefits to 1 organization
I20250611000575 MA Practitioner - Nurse Practitioner 2365523164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024153108VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Sep 5, 2007 Accepting new patients
Page Memorial Hospital, Inc. Family CurrentSince Dec 6, 2021 Accepting new patients
Multnomah County CurrentSince Nov 1, 2022 Accepting new patients
Page Memorial Hospital, Inc. Current Accepting new patients
Multnomah County Current Accepting new patients
Page Memorial Hospital Inc. CurrentSince Dec 6, 2021 Accepting new patients
Multnomah County CurrentSince Nov 1, 2022 Accepting new patients

Locations

600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900

209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674

619 NW 6th Ave
Portland, OR 97209
Phone (503) 988-3674

619 NW 6th Ave
Fl 5
Portland, OR 97209
Phone (503) 988-3674

1221 Lee St
Charlottesville, VA 22908

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

500 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 924-2224

135 Memorial Dr
Luray, VA 22835
Phone (540) 743-2887

220 Campus Blvd
Ste 100
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: carolyn.friedman.1@20955.direct.athenahealth.com
  • Direct secure messaging: cfriedman961905@soc.inova.org

Organizations & group practices 7

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1306068762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RAY C. HUNT DRIVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22903",
            "telephone_number": "434-980-6140",
            "fax_number": "434-972-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF FAMILY MEDICINE UNIVERSITY OF VIRGINIA",
            "address_2": "1221 LEE STREET",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080001",
            "telephone_number": "434-924-5348",
            "fax_number": "434-982-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "CAROLYN",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001153108",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024153108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.