Individual provider Active NPI

Kadiatu Sallamatu Kamara, FNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1992542625
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024189776 Issued in VA
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

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250304001034 VA Practitioner - Nurse Practitioner 7810418167 Reassigns benefits to 3 organizations
I20250423002842 DC Practitioner - Nurse Practitioner 7810418167 Reassigns benefits to 3 organizations

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
Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

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

LicenseStateTypeSpecialty
0024189776VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC DMV LLC CurrentSince Nov 22, 2024 Accepting new patients
Ennoble HC DMV II LLC CurrentSince Dec 29, 2025 Accepting new patients
Ennoble HC DMV III LLC CurrentSince Dec 30, 2025 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.