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

Carrie Radford, FNP

Individual provider Family Nurse Practitioner · NPI 1679190136

Carrie Radford, FNP is a Nurse Practitioner in Virginia Beach, Virginia. Qualified in 2020, 6 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4534 Bonney Rd Ste B
Virginia Beach, VA 23462-3873
Phone: (757) 499-4101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F06202346 (VA)

Record details

NPI number1679190136
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 1, 2020
Last updated in NPPESMarch 28, 2023
Certification dateOctober 5, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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