Individual provider Active NPI

Kristin Barbato McClymont, DNP CRNP

  • Family Nurse Practitioner
  • Chantilly, VA
National Provider Identifier
1366843245
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024189947 Issued in VA
Practice address
3914 Centreville Rd
Chantilly, VA 20151-3289
Phone
(703) 481-8600
NPI assigned
Sep 10, 2014
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP014177 PA
Family Nurse Practitioner 363LF0000X 0024189947 VA Primary

Addresses

Primary practice location

3914 Centreville Rd
Chantilly, VA 20151-3289

Mailing address

3914 Centreville Rd Ste 101
Chantilly, VA 20151-3289
Phone (703) 481-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024189947VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trusted Doctors LLC Past Accepting new patients
Children's Community Care PastSince Mar 13, 2022 Accepting new patients

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, 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": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1366843245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 CENTREVILLE RD STE 101",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513289",
            "telephone_number": "703-481-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 CENTREVILLE RD",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513289",
            "telephone_number": "703-481-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLYMONT",
        "first_name": "KRISTIN",
        "middle_name": "BARBATO",
        "credential": "DNP CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014177",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.