Individual provider Active NPI

Carolyn Ann White, CRNA

  • Certified Registered Nurse Anesthetist
  • Fairfax, VA
National Provider Identifier
1831129485
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024115461 Issued in VA
Practice address
3998 Fair Ridge Drive
Suite 300
Fairfax, VA 22033-2921
Phone
(703) 295-9360
Fax
(703) 295-9369
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024115461 VA Primary

Addresses

Primary practice location

3998 Fair Ridge Drive
Suite 300
Fairfax, VA 22033-2921

Mailing address

812 Gorman Ave
Elkins, WV 26241-3181
Phone (703) 295-9360

Other identifiers 2

IdentifierTypeStateIssuer
010197805MedicaidVA
PENDINGMedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050914001288 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244263796 Reassigns benefits to 8 organizations
I20191122000057 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244263796 Reassigns benefits to 2 organizations
I20191122000290 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244263796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024115461VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Anesthesia Associates, P.C. CurrentSince Oct 1, 2005 Accepting new patients
Professional Anesthesia Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2017 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Oct 28, 2021 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 21, 2017 Accepting new patients
Richmond Gastroenterology Associates, Inc. CurrentSince May 1, 2025 Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC CurrentSince Mar 1, 2020 Accepting new patients
Davis Memorial Hospital CurrentSince Nov 1, 2019 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Mar 1, 2023 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Oct 28, 2021 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2018 Accepting new patients
Davis Memorial Hospital CurrentSince Nov 1, 2019 Accepting new patients
Centra Health Inc Past Accepting new patients

Locations (25 of 26)

1302 Rising Ridge Rd
Ste 1
Mount Airy, MD 21771

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

1500 Dixon St
Ste 101
Fredericksburg, VA 22401
Phone (540) 371-5349

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

760 McGuire Pl
Fl 2
Newport News, VA 23601
Phone (757) 591-2260

165 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 272-9146

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

215 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 497-4973

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

2369 Staples Mill Rd
Ste 100
Richmond, VA 23230
Phone (804) 354-8818

1600 Wilkes Ridge Dr
Ste 100
Richmond, VA 23233
Phone (703) 563-0042

7640 E Parham Rd
Richmond, VA 23294
Phone (804) 285-4763

5855 Bremo Rd
Ste 100
Richmond, VA 23226
Phone (804) 288-6258

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

Organizations & group practices 12

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1831129485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "703-295-9360",
            "fax_number": "703-295-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DRIVE",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-295-9360",
            "fax_number": "703-295-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024115461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010197805",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.