Individual provider Active NPI

Kristin A Duff Carlini, PA-C

  • Surgical Physician Assistant
  • Arlington, VA
National Provider Identifier
1891702353
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0110001736 Issued in VA
Practice address
2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605
Phone
(703) 892-6500
Fax
(703) 799-5989
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0110001736 VA Primary

Addresses

Primary practice location

2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605

Mailing address

2800 S Shirlington Rd Ste 1000
Arlington, VA 22206-3614
Phone (703) 892-6500

Other practice location 1

3299 Woodburn Rd Ste 480
Annandale, VA 22003-7333
Phone (703) 892-6500

Other names 1

  • Kristin A Duff Former name

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
I20040108000500 DC Practitioner - Physician Assistant 6406755305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Anderson Clinic LLC 75 clinicians

Practice addresses (Care Compare)

2445 Army Navy Dr
Arlington, VA 22206-2905

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 892-6500

2800 S Shirlington Rd
Suite 1100
Arlington, VA 22206-3605

3299 Woodburn Rd
Suite 480
Annandale, VA 22003-7333
Phone (703) 892-6500

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Clinic LLC CurrentSince Sep 8, 2003 Accepting new patients
Anderson Clinic LLC CurrentSince Sep 8, 2003 Accepting new patients
Anderson Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Anderson Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Anderson Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Anderson Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Anderson Clinic LLC PastSince Jan 1, 1990 Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3299 Woodburn Rd
Ste 480
Annandale, VA 22003
Phone (703) 876-0734

2800 S Shirlington Rd
Ste 1100
Arlington, VA 22206
Phone (703) 769-8423

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2445 Army Navy Dr
Arlington, VA 22206

Interoperability endpoints

  • Direct secure messaging: kcarlini@andersonclinic.emadirect.md

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1891702353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 1000",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063614",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 1100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063605",
            "telephone_number": "703-892-6500",
            "fax_number": "703-799-5989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3299 Woodburn Rd Ste 480",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220037333",
            "country_code": "US",
            "telephone_number": "703-892-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFF CARLINI",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110001736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "DUFF",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.