Active NPI
Kari Faircloth
- Family Nurse Practitioner
- Washington, DC
National Provider Identifier
1962880146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN1011148
- Practice address
- 1350 Connecticut Ave NW Ste 1250
Washington, DC 20036-1728 - Phone
- (202) 627-1901
- NPI assigned
- May 8, 2015
- 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 | 0024172486 | VA | |
| Family Nurse Practitioner | 363LF0000X | RN1011148 | DC | Primary |
Addresses
Primary practice location
1350 Connecticut Ave NW Ste 1250
Washington, DC 20036-1728
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other practice location 1
1320 14th St NW
Washington, DC 20005-3611
Phone (202) 745-4300
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1011148 | DC | MD | Family Nurse Practitioner |
| 0024172486 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Health Care Inc. | Current | Accepting new patients | |
| Arlington County Government Department of Managment & Finance | Current | Accepting new patients | |
| Unity Health Care, Inc. | Current | Accepting new patients |
Locations
1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000
2100 Washington Blvd
Fl 4
Arlington, VA 22204
Phone (703) 228-1600
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1093894172
-
- Community/Behavioral Health Agency
- Arlington, VA
- NPI 1043280415
DC
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1346014412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1962880146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CONNECTICUT AVE NW STE 1250",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200361728",
"telephone_number": "202-627-1901"
}
],
"practiceLocations": [
{
"address_1": "1320 14th St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200053611",
"country_code": "US",
"telephone_number": "202-745-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAIRCLOTH",
"first_name": "KARI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-08",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024172486",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1011148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.