Radiant Rejuvenation Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RADIANT REJUVENATION WELLNESS

Practice address

4914 McFarland Dr
Fairfax, VA 22032-2518

Phone

(571) 241-2915

NPI assigned

May 23, 2024

Last updated

May 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol KamaraNPI 1134992779

Title

Owner

Phone

(571) 241-2915

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Kamara, FNP-BC

  • Family Nurse Practitioner
  • Fairfax, VA
  • NPI 1134992779
  NPD Authorized official

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1932948387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 MCFARLAND DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322518",
            "telephone_number": "571-241-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 MCFARLAND DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322518",
            "telephone_number": "571-241-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT REJUVENATION WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-241-2915"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Rabinowitz, LPT
• Ilya Rabkin, M.D.
• Racquel Semeraro Inc.
• Tarynn Radakovic, CCC-SLP
• Barathy Radhakrishnan, SLP
• Radiation Oncology Associates, PC
• Maya Martinova Radoslavova
• Andrea Lynn Rafferty, P.T.
• Laura Rafner, COTA/L
• Kimberly Anne Ragan, LCSW

• Family Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.