Individual provider Active NPI

Kristen Carter, NP-C

  • Geriatric Medicine (Family Medicine) Physician
  • Powhatan, VA
National Provider Identifier
1780220160
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
0024177907 Issued in VA
Practice address
2615 Anderson Hwy
Powhatan, VA 23139-7400
Phone
(804) 794-1555
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210315002692 VA Practitioner - Nurse Practitioner 8426464579 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024177907VAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Regional Medical Center, P.C. CurrentSince Dec 2, 2020 Accepting new patients
Magnolia Health and Wellness CurrentSince Mar 30, 2025 Accepting new patients

Locations

8266 Atlee Rd
Ste 224
Mechanicsvlle, VA 23116
Phone (804) 454-7240

7481 Right Flank Rd
Ste 100
Mechanicsvlle, VA 23116
Phone (804) 616-4515

14300 Justice Rd
Midlothian, VA 23113
Phone (804) 454-7240

12700 McManus Blvd
Ste 101
Newport News, VA 23602
Phone (757) 223-5444

477 Viking Dr
Ste 430
Virginia Beach, VA 23452
Phone (757) 514-1915

Interoperability endpoints

  • Direct secure messaging: kristen.carter@1025584298262532.direct.elationemr.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 0024177907 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

2615 Anderson Hwy
Powhatan, VA 23139-7400

Mailing address

4579 Hickory Hill Rd
Kents Store, VA 23084-2138

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 21, 2019.

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1780220160",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ANDERSON HWY",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397400",
            "telephone_number": "804-794-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KRISTEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0024177907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powhatan, VA

Sources for this page

Verify at the official NPI Registry.