Provider Demographics
NPI:1760504005
Name:KARAS, KRISTY (NP, RXN, CNS)
Entity Type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:KARAS
Suffix:
Gender:F
Credentials:NP, RXN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ARH LANE
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:LOW MOOR
Mailing Address - State:VA
Mailing Address - Zip Code:24457
Mailing Address - Country:US
Mailing Address - Phone:540-862-2021
Mailing Address - Fax:
Practice Address - Street 1:1 ARH LANE
Practice Address - Street 2:SUITE 202A
Practice Address - City:LOW MOOR
Practice Address - State:VA
Practice Address - Zip Code:24457
Practice Address - Country:US
Practice Address - Phone:540-862-2021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO186308363LP0808X, 364SP0809X
VA0024167081363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1760504005Medicaid
VAVVH987AMedicare PIN
VA1760504005Medicaid