Active NPI
Mariatu Kadie Kargbo, RN, MSN, BC-FNP
- Family Nurse Practitioner
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024165857
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024165857 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simplified Health Care | Current | Accepting new patients | |
| Virginia Internal Medicine Inc | Current | 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.
-
- Primary Care Clinic/Center
- Alexandria, VA
- NPI 1982239844
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
DC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.