Magnolia Health and Wellness

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

MAGNOLIA HEALTH AND WELLNESS

Practice address

4579 Hickory Hill Rd
Kents Store, VA 23084-2138

Phone

(804) 366-4015

NPI assigned

Mar 27, 2025

Organization subpart

No

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

Authorized official

Name

Kristen Carter, NP-CNPI 1780220160

Title

Nurse Practitioner

Phone

(804) 366-4015

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Carter, NP-C

  • Geriatric Medicine (Family Medicine) Physician
  • Powhatan, VA
  • NPI 1780220160
  NPD Authorized official

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1750183778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 HICKORY HILL RD",
            "city": "KENTS STORE",
            "state": "VA",
            "postal_code": "230842138",
            "telephone_number": "804-366-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 HICKORY HILL RD",
            "city": "KENTS STORE",
            "state": "VA",
            "postal_code": "230842138",
            "telephone_number": "804-366-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "804-366-4015",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Virginia Psychology PLLC
• Maura L Collins, PSYD
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• Modern Trauma and Emdr Counseling, PLLC
• William Theron Sawyer, BSPHARM

• All providers in Kents Store, VA
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.