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

Kimmala Shetef Roundtree, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1205210788

Kimmala Shetef Roundtree, FNP-BC is a Nurse Practitioner in Alexandria, Virginia. Qualified in 2015, 11 years ago. Practices with Greater Baden Medical Service Incorporated, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
11
Licensed in
MD, VA
In the registry since
2015
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1727 King St Ste 3
Alexandria, VA 22314-2700
Phone: (571) 695-2386
Fax: (571) 695-2252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7450 Albert Rd Fl 3, Brandywine, MD 20613-3035 — (301) 888-2233

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024172748 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024172748 (VA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AC006692 (MD)

Record details

NPI number1205210788
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 15, 2015
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Greater Baden Medical Service Incorporated — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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