Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carla Karim Reynoso

Individual provider Family Nurse Practitioner · NPI 1972123602

Carla Karim Reynoso is a Nurse Practitioner in Manassas, Virginia. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2020
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Practice location Address checks out

8100 Ashton Ave Ste 200
Manassas, VA 20109-5688
Phone: (877) 415-4116
Fax: (571) 581-0803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10066 Apple Wood Ct, Burke, VA 22015-2726 — (703) 298-6481

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024181552 (VA)

Record details

NPI number1972123602
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2020
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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