Johnnie K Carrico, MSN FNP
Individual provider Active NPI Family Nurse Practitioner · Wise, VA
NPI 1346745007 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1346745007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024175394 (VA)
- Practice address
- 1 College Ave RM 105
Wise, VA 24293-4400 - Phone
- (276) 376-3475
- Fax
- (376) 328-3102
- NPI assigned
- Mar 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current |
Accepting new patients |
Locations
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
Interoperability endpoints
- jbledsoe413033@direct.healthsystem.virginia.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024175394 | VA | Yes |
Addresses
Primary practice location
1 College Ave RM 105
Wise, VA 24293-4400
Mailing address
1 College Ave RM 105
Wise, VA 24293-4400
Phone (276) 376-3476
Other practice location 1
1215 Lee St
Charlottesville, VA 22908-4400
Phone (434) 924-2283
Other providers in Wise, VA
- Amy Elizabeth Brock
- Kalianna Grace Brooks
- Tiffany Buchanan
- Jack Butler
- Eleanor Sue Cantrell
- Makayla Danielle Castle
- Cavalier Pharmacy Inc
- Kayley Church
- Rosetta Collins
- Commonwealth of Virginia State Board of Health
All providers in Wise, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.