Individual provider Active NPI

Mariatu Kadie Kargbo, RN, MSN, BC-FNP

  • Family Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1841510237
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165857 Issued in VA
Practice address
3303 Duke Street
Alexandria, VA 22314
Phone
(703) 212-7410
Fax
(703) 212-7414
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024165857 VA Primary

Addresses

Primary practice location

3303 Duke Street
Alexandria, VA 22314

Mailing address

30 S Quaker LN Ste 201
Alexandria, VA 22314-4596
Phone (703) 587-6592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260107002683 DC Practitioner - Nurse Practitioner 3577049857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Practice addresses (Care Compare)

2807 King St
Alexandria, VA 22302-4012
Phone (703) 215-9110

3440 S Jefferson St
Falls Church, VA 22041-3145
Phone (703) 820-1488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024165857VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simplified Health Care Current Accepting new patients
Virginia Internal Medicine Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

Organizations & group practices 3

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1841510237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S QUAKER LN STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144596",
            "telephone_number": "703-587-6592",
            "fax_number": "703-212-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 DUKE STREET",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "703-212-7410",
            "fax_number": "703-212-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARGBO",
        "first_name": "MARIATU",
        "middle_name": "KADIE",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, BC-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.