Individual provider Active NPI

Chayamorn L Carter, CRNA

  • Certified Registered Nurse Anesthetist
  • Woodbridge, VA
National Provider Identifier
1396246732
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
24175999 Issued in VA
Practice address
2300 Opitz Blvd
Woodbridge, VA 22191
Phone
(703) 523-1000
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X CR000969 SD
Certified Registered Nurse Anesthetist 367500000X 24175999 VA Primary

Addresses

Primary practice location

2300 Opitz Blvd
Woodbridge, VA 22191

Mailing address

8178 Hillcrest Dr
Manassas, VA 20111-2822

Other practice location 1

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180611001931 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618230509 Reassigns benefits to 5 organizations
I20190313000942 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618230509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

500 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5000

Hospital & facility affiliations

  • Fauquier Hospital Hospital, Warrenton, VA, CCN 490023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
CR000969SDMDCertified Registered Nurse Anesthetist
24175999VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia PC Single Specialty CurrentSince Dec 10, 2018 Accepting new patients
American Anesthesiology of Virginia, PC Single Specialty CurrentSince Dec 10, 2018 Accepting new patients
Surgical Anesthesia Associates, PLLC Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Medstream Anesthesia PLLC Single Specialty CurrentSince Apr 15, 2024 Accepting new patients
Inova Cares - Community Single Specialty CurrentSince Aug 6, 2023 Accepting new patients
Northstar Anesthesia of Virginia, LLC Single Specialty CurrentSince May 1, 2022 Accepting new patients
Premier Anesthesia of Virginia LLC Single Specialty CurrentSince Nov 18, 2020 Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3620 Joseph Siewick Dr
Ste 202
Fairfax, VA 22033
Phone (703) 766-6960

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1396246732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8178 HILLCREST DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201112822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-523-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 S State St",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "SD",
            "postal_code": "574014527",
            "country_code": "US",
            "telephone_number": "605-622-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHAYAMORN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000969",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "24175999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.