KAITLIN VAN WINKLER (NPI# 1023653995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023653995 |
| Entity Type | Individual |
| Full Name | KAITLIN VAN WINKLER |
| Credential | P.A. |
| Practice Address |
8051 Prosperity Way Ste 100 Ruther Glen VA 22546-5812 |
| Mailing Address |
Po Box 419402 Boston MA 02241-9402 |
| Practice Telephone | 8044480198 |
| Practice Fax Number | 8044480598 |
| Mailing Telephone | 8552901552 |
| Mailing Fax Number | 3367746872 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110006972 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8051 PROSPERITY WAY STE 100 |
| City | RUTHER GLEN |
| State | VA |
| Zip Code | 22546-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043275852 | Victoria E Grady | Internal Medicine | 8051 Prosperity Way Ste 100, Ruther Glen, VA 22546 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659888717 | Mohamed Ibrahim | Dentist | 18010 Jefferson Davis Highway, Ruther Glen, VA 22546 | 2018-01-10 |
| 1891246237 | Urgent Care Travel, Inc | Clinic/Center | 23458 Cool Water Drive, Ruther Glenn, VA 22546 | 2016-10-20 |
| 1346423225 | Caroline Outpatient Program | Community/Behavioral Health | 7120 Conway Place, Ruther Glen, VA 22546 | 2007-12-13 |
| 1578931911 | Right Price Construction | Durable Medical Equipment & Medical Supplies | 306 Burr Dr, Ruther Glen, VA 22546 | 2015-09-02 |
| 1588973614 | Jennifer Lynn Brown | Social Worker | 19254 Rogers Clark Blvd, Ruther Glen, VA 22546 | 2010-10-07 |
| 1710293477 | Nancy Christine Love I | Social Worker | 19254 Rogers Clark Blvd, Ruther Glen, VA 22546 | 2010-08-19 |
| 1184182719 | Antonio O'neil Clinkscales | Counselor | 103 Surrey Dr, Ruther Glen, VA 22546-1035 | 2019-03-02 |
| 1942548912 | Nicole Rich | Technician | 1004 Lake Heritage Dr, Ruther Glen, VA 22546-1054 | 2013-01-24 |
| 1396063855 | David Joseph Perillo | Podiatrist | 347 Land Or Dr, Ruther Glen, VA 22546-1235 | 2010-05-08 |
| 1821319567 | Dpmperillonrva LLC | Podiatrist | 347 Land Or Dr, Ruther Glen, VA 22546-1235 | 2010-06-17 |
| Find all providers in zip 22546 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981866 | Madison Emily Lloyd | Physician Assistant | 3416 Gayton Meadows Ter, Henrico, VA 23233-6647 | 2020-10-28 |
| 1962001529 | Careteam, LLC | Physician Assistant | 1330 Amherst St Ste E, Winchester, VA 22601-3054 | 2020-10-23 |
| 1730788514 | Alaina Nichole Wayland | Physician Assistant | 10180 Portsmouth Rd Apt 1, Manassas, VA 20109-8024 | 2020-10-22 |
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1639786320 | William Barr | Physician Assistant | 240 Gena Ct, Newport News, VA 23602-6300 | 2020-09-26 |
| 1336755297 | Taylor Jones | Physician Assistant | 583 Fowler St, Marion, VA 24354-2203 | 2020-09-16 |
| 1366058232 | Carah Grace Whichard | Physician Assistant | 18778 Grahams Dr, Abingdon, VA 24211-7096 | 2020-09-16 |
| 1962015750 | Hannah Wallen | Physician Assistant | 8101 Hinson Farm Rd Ste 501, Alexandria, VA 22306-3403 | 2020-08-31 |
| 1073126215 | Nickolas Patrick Forsberg | Physician Assistant | 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191-5300 | 2020-08-27 |
| Find all providers with the same taxonomy | ||||
| City | RUTHER GLEN |
| Zip Code | 22546 |
Please comment or provide details below to improve the information on KAITLIN VAN WINKLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.