Active NPI
Kristen Carter, NP-C
- Geriatric Medicine (Family Medicine) Physician
- Powhatan, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 0024177907
- 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.
-
- Nurse Practitioner
- Mechanicsville, VA
- NPI 1386187540
-
- Primary Care Nurse Practitioner
- Kents Store, VA
- NPI 1750183778
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024177907 | VA | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Regional Medical Center, P.C. | Current | Accepting new patients | |
| Magnolia Health and Wellness | Current | 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
- kristen.carter@1025584298262532.direct.elationemr.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 0024177907 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.