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 1:340 CHELSEA LOOP
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-3070
Mailing Address - Country:US
Mailing Address - Phone:540-307-1552
Mailing Address - Fax:844-502-2879
Practice Address - Street 1:644 W MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-1591
Practice Address - Country:US
Practice Address - Phone:540-307-1552
Practice Address - Fax:844-502-2879
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO186308364SP0809X, 363LP0808X
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