Active NPI
Kadiatu Sallamatu Kamara, FNP
- Family Nurse Practitioner
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024189776
- Practice address
- 60 Brimley Dr
Fredericksburg, VA 22406-5148 - Phone
- (571) 568-0119
- NPI assigned
- Jul 10, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024189776 | VA | Primary |
Addresses
Primary practice location
60 Brimley Dr
Fredericksburg, VA 22406-5148
Mailing address
2 University PLZ Ste 204
Hackensack, NJ 07601-6211
Phone (551) 295-8223
Other practice location 1
20130 Lakeview Center Plz Ste 400
Ashburn, VA 20147-5905
Phone (551) 295-8223
Other practice location 2
39 V St NE
Washington, DC 20002-1329
Phone (551) 295-8223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Washington, DC 20002
Phone (862) 812-9010
20130 Lakeview Ctr PLZ
Suite 400
Ashburn, VA 20147-5905
Phone (862) 812-9010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024189776 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC DMV LLC | Current | Accepting new patients | |
| Ennoble HC DMV II LLC | Current | Accepting new patients | |
| Ennoble HC DMV III LLC | Current | Accepting new patients |
Locations
1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
20130 Lakeview Center Plz
Ste 400
Ashburn, VA 20147
Phone (700) 865-2144
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Silver Spring, MD
- NPI 1134002900
DC, VA
-
- Geriatric Medicine (Family Medicine) Physician
- Silver Spring, MD
- NPI 1922981695
DC, VA
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fairfax, VA
- NPI 1588152623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1992542625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 UNIVERSITY PLZ STE 204",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016211",
"telephone_number": "551-295-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 BRIMLEY DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224065148",
"telephone_number": "571-568-0119"
}
],
"practiceLocations": [
{
"address_1": "20130 Lakeview Center Plz Ste 400",
"address_purpose": "LOCATION",
"city": "Ashburn",
"state": "VA",
"postal_code": "201475905",
"country_code": "US",
"telephone_number": "551-295-8223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "39 V St NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200021329",
"country_code": "US",
"telephone_number": "551-295-8223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMARA",
"first_name": "KADIATU",
"middle_name": "SALLAMATU",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024189776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
- Kristin D Kainu, MSW
- Kairos Counseling Services (Kairos Counseling)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Fredericksburg Pharmacy)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Fredericksburg Medical Center Laboratory)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Fredericksburg Medical Center)
- Karen Kameda
- Alyssa B. Kaminski, PHYSICAL THERAPIST
- Alyssa Kandel, AU.D.
- Steven S Kang, DPT
- Abdul Kanu
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.