Individual provider Active NPI

Christy Michelle Harshberger, FNP

  • Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1750665196
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024172829 Issued in VA
Practice address
14330 Gideon Dr
Woodbridge, VA 22192-4640
Phone
(571) 408-9139
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024172829 VA Primary

Addresses

Primary practice location

14330 Gideon Dr
Woodbridge, VA 22192-4640

Mailing address

14330 Gideon Dr
Woodbridge, VA 22192-4640
Phone (571) 408-9139

Other names 1

  • Christy Michelle Kirby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20151110000665 VA Practitioner - Nurse Practitioner 2860665320 Reassigns benefits to 3 organizations
I20200708003117 DC Practitioner - Nurse Practitioner 2860665320 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jun 8, 2020 Accepting new patients
Inova Health Care Services CurrentSince Jun 8, 2020 Accepting new patients
Cavery Wellness of Woodbridge, LLC CurrentSince Oct 6, 2024 Accepting new patients
Cavery Health Clinic CurrentSince May 19, 2019 Accepting new patients
Velocity Urgent Care, LLC CurrentSince Dec 8, 2019 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Health Care Services CurrentSince Jun 8, 2020 Accepting new patients
Cavery Wellness of Fredericksburg, LLC Past Accepting new patients
Cavery Wellness of Stafford, LLC Past Accepting new patients

Locations

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

1326 E Little Creek Rd
Norfolk, VA 23518
Phone (757) 583-6338

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

14330 Gideon Dr
Ste A
Woodbridge, VA 22192
Phone (910) 528-0517

14330 Gideon Dr
Ste B
Woodbridge, VA 22192
Phone (571) 408-6800

14330 Gideon Dr
Woodbridge, VA 22192
Phone (571) 408-9139

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21080/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1750665196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 GIDEON DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924640",
            "telephone_number": "571-408-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 GIDEON DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924640",
            "telephone_number": "571-408-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSHBERGER",
        "first_name": "CHRISTY",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024172829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "KIRBY",
            "middle_name": "MICHELLE",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.