Individual provider Active NPI

Kimberly R T Carter, NP

  • Family Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1932443736
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168013 Issued in VA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150321000241 VA Practitioner - Nurse Practitioner 0648409607 Reassigns benefits to 2 organizations

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
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

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

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
Martha Jefferson Medical Group LLC CurrentSince Aug 5, 2019 Accepting new patients
Anchor Healthcare, PLC CurrentSince Dec 8, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
Bruce D Campbell MD, LLC PastSince May 3, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.