Individual provider Active NPI

Kristen Michele Carpenter, NURSE PRACTITIONER

  • Maternal & Fetal Medicine Physician
  • Springfield, VA
National Provider Identifier
1730906165
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
0024186344 Issued in VA
Practice address
5514 Alma LN Ste 200
Springfield, VA 22151-4014
Phone
(703) 827-3379
NPI assigned
Sep 25, 2024
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024186344 VA
Maternal & Fetal Medicine Physician 207VM0101X 0024186344 VA Primary

Addresses

Primary practice location

5514 Alma LN Ste 200
Springfield, VA 22151-4014

Mailing address

6618 Holford LN
Springfield, VA 22152-2908
Phone (609) 954-2254

Other practice location 1

6618 Holford Ln
Springfield, VA 22152-2908
Phone (609) 954-2254

Other practice location 2

4660 Kenmore Ave Ste 902
Alexandria, VA 22304-1306
Phone (703) 370-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20251218000089 DC Practitioner - Nurse Practitioner 2365937331 Reassigns benefits to 1 organization
I20260120002706 VA Practitioner - Nurse Practitioner 2365937331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024186344VAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 9, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 9, 2025 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1730906165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 HOLFORD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522908",
            "telephone_number": "609-954-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 ALMA LN STE 200",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514014",
            "telephone_number": "703-827-3379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6618 Holford Ln",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221522908",
            "country_code": "US",
            "telephone_number": "609-954-2254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 Kenmore Ave Ste 902",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041306",
            "country_code": "US",
            "telephone_number": "703-370-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KRISTEN",
        "middle_name": "MICHELE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024186344",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "VA",
            "license": "0024186344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.