Active NPI
Kimberly R T Carter, NP
- Family Nurse Practitioner
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168013
- Practice address
- 1414 Sachem PL Ste 1
Charlottesville, VA 22901-2560 - Phone
- (434) 218-0405
- Fax
- (434) 296-1195
- NPI assigned
- Nov 16, 2012
- Last updated
- Aug 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024168013 | VA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024168013 | VA |
Addresses
Primary practice location
1414 Sachem PL Ste 1
Charlottesville, VA 22901-2560
Mailing address
1414 Sachem PL Ste 1
Charlottesville, VA 22901-2560
Phone (434) 218-0405
Other practice location 1
901 Preston Ave Ste 400&401
Charlottesville, VA 22903-4491
Phone (434) 218-0405
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Martha Jefferson Medical Group LLC | Current | Accepting new patients | |
| Anchor Healthcare, PLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Bruce D Campbell MD, LLC | Past | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients |
Locations
1414 Sachem Pl
Ste 1
Charlottesville, VA 22901
Phone (434) 218-0405
416 Albemarle Sq
Charlottesvle, VA 22901
Phone (434) 220-0021
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
8644 Sudley Rd
#220
Manassas, VA 20110
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1275720559
-
dba Charlottesville Integrated Psychiatry
- Psychologist
- Charlottesville, VA
- NPI 1811625692
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
dba Bruce D Campbell MD
- Family Medicine Physician
- Free Union, VA
- NPI 1144362146
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1932443736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 SACHEM PL STE 1",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229012560",
"telephone_number": "434-218-0405",
"fax_number": "434-296-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 SACHEM PL STE 1",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229012560",
"telephone_number": "434-218-0405",
"fax_number": "434-296-1195"
}
],
"practiceLocations": [
{
"address_1": "901 Preston Ave Ste 400&401",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229034491",
"country_code": "US",
"telephone_number": "434-218-0405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "KIMBERLY",
"middle_name": "R T",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024168013",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024168013",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.