Individual provider Active NPI

Carina Leite

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1912548876
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178469 Issued in VA
Practice address
4901 Plank Rd
Fredericksburg, VA 22407-6625
Phone
(540) 870-6540
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 0024178469 VA Primary

Addresses

Primary practice location

4901 Plank Rd
Fredericksburg, VA 22407-6625

Mailing address

208 Ireland Dr
Fredericksbrg, VA 22406-4401
Phone (540) 356-5606

Other practice location 1

10004 Southpoint Pkwy
Fredericksburg, VA 22407-2705
Phone (540) 252-3535

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200211002402 VA Practitioner - Nurse Practitioner 5799111787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Carenow Urgent Care LLCGroup PAC ID 4284902057, 55 clinicians

Practice addresses (Care Compare)

10004 Southpoint Pkwy
Fredericksburg, VA 22407-2705
Phone (540) 252-3535

Hospital & facility affiliations

  • Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Carenow Urgent Care, LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

10004 Southpoint Pkwy
Fredericksburg, VA 22407
Phone (540) 252-3535

4901 Plank Rd
Fredericksburg, VA 22407
Phone (540) 870-6540

6100 Harbourside Centre Loop
Midlothian, VA 23112
Phone (804) 639-7555

4600 Puddledock Rd
Prince George, VA 23875
Phone (804) 639-7555

46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087

Organizations & group practices 1

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 1

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1912548876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 IRELAND DR",
            "city": "FREDERICKSBRG",
            "state": "VA",
            "postal_code": "224064401",
            "telephone_number": "540-356-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076625",
            "telephone_number": "540-870-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10004 Southpoint Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224072705",
            "country_code": "US",
            "telephone_number": "540-252-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEITE",
        "first_name": "CARINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.