Active NPI
Karyn Elizabeth Wolfe, M.D.
- Pediatrics Physician
- Charlottesville, VA
National Provider Identifier
1629055520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101238183
- Practice address
- 1011 E Jefferson St
Charlottesville, VA 22902-5354 - Phone
- (434) 296-9161
- Fax
- (434) 296-1036
- NPI assigned
- Dec 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101238183 | VA | Primary |
Addresses
Primary practice location
1011 E Jefferson St
Charlottesville, VA 22902-5354
Mailing address
2300 Hartland CT
Charlottesville, VA 22911-2216
Phone (434) 962-4667
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10179955 | Medicaid | VA | |
| 2133722 | Other | VA | MAMSI/ALLIANCE |
| 181297 | Other | VA | ANTHEM |
| 311091 | Other | VA | SOUTHERN HEALTH |
| 96629 | Other | VA | OPTIMA |
| 2952750 | Other | VA | CIGNA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101238183 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348876800000",
"number": "1629055520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 HARTLAND CT",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229112216",
"telephone_number": "434-962-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 E JEFFERSON ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025354",
"telephone_number": "434-296-9161",
"fax_number": "434-296-1036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "KARYN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2012-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101238183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10179955",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/ALLIANCE",
"identifier": "2133722",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "181297",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "311091",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "96629",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2952750",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.