1578609723 NPI number — MS. KATHERINE MAY R.N.C.S.

Table of content: MS. KATHERINE MAY R.N.C.S. (NPI 1578609723)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578609723 NPI number — MS. KATHERINE MAY R.N.C.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAY
Provider First Name:
KATHERINE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
R.N.C.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578609723
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2047 HARVEST DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINCHESTER
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22601-6048
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-722-3228
Provider Business Mailing Address Fax Number:
540-722-7113

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2047 HARVEST DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINCHESTER
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22601-2788
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-722-3228
Provider Business Practice Location Address Fax Number:
540-722-7113
Provider Enumeration Date:
01/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WP0809X , with the licence number:  0001086352 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 364SP0809X , with the licence number: 0015000390 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 541823623 . This is a "ACORDIA NATIONAL" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 541823623 . This is a "CIGNA HEALTHCARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 016617 . This is a "ANTHEM BCBS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 088767 . This is a "OPTIMA SENTARA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com