KAITLIN ELIZABETH BOUNTRESS


Address: 15521 Midlothian Tpke Ste 105, Midlothian, VA 23113-7313
Phone: 8044231550

KAITLIN ELIZABETH BOUNTRESS (NPI# 1447736806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447736806
Entity Type Individual
Full Name KAITLIN ELIZABETH BOUNTRESS
Credential PHD
Practice Address 15521 Midlothian Tpke Ste 105
Midlothian
VA 23113-7313
Practice Telephone 8044231550
Enumeration Date 2018-07-18
Last Update Date 2018-07-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0810005772 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NONE NONE 01

Office Location

Street Address 15521 MIDLOTHIAN TPKE STE 105
City MIDLOTHIAN
State VA
Zip Code 23113-7313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255974135 Stephanie Marie Dawkins Social Worker 15521 Midlothian Tpke Ste 105, Midlothian, VA 23113-7313 2019-10-23

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1881211167 River Run Dental Midlothian Pllc Dentist 14261 Winterview Parkway, Midlothian, VA 23113 2020-07-02
1447891981 Dianne Carter Mays Technician 10901 Live Oak Court, Midlothian, VA 23113 2019-10-07
1023538444 Kathryn Marie Logsdon Physical Therapist 2900 Calcutt Drive, Midlothian, VA 23113 2017-06-27
1801244694 Anjali N Kalore Internal Medicine 10925 Live Oak Ct, Midlothian, VA 23113 2016-06-02
1124415971 Cara E. Corbelli Chiropractor 1520 Huguenot Rd Ste 113, Midlothian, VA 23113 2015-04-20
1922438639 Orthovirginia, Inc Orthopaedic Surgery 13801 St. Francis Blvd, Suite 200, Midlothian, VA 23113 2013-11-15
1811334832 Kara Keuthan Beatty Psychiatry & Neurology 1525 Huguenot Rd Ste 201, Midlothian, VA 23113 2013-05-31
1770854697 R. Adrian Sorenson Dds and William R. Monacell Dds Dentist 14420 Sommerville Ct., Midlothian, VA 23113 2012-01-24
1336418995 Hush Fine Lingerie LLC Prosthetic/Orthotic Supplier 15712 Wc Main Strett, Westchester Commons Shopping Center, Midlothian, VA 23113 2011-12-27
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699385013 Celeste Macdonald Kelly Psychologist 250 Wylderose Cmns, Midlothian, VA 23113-6883 2020-08-01
1801215066 Krystal Studivant Nowak Psychologist 1 Park West Cir Ste 306n, Midlothian, VA 23114-5552 2014-04-15
1245675958 Ashley Marie Foresman Psychologist 13901 Coalfield Commons Pl Ste 102, Midlothian, VA 23114-1216 2013-05-08
1952603409 Lindsey Kate Slaughter Psychologist 13321 Diamond Ridge Dr, Midlothian, VA 23112-8340 2010-12-03
1831407824 Lee Saecker Ridens Psychologist 13821 Village Mill Dr Ste B, Midlothian, VA 23114-4314 2010-09-23
1316177041 James R Moon Psychologist 12807 Rossmere Ct, Midlothian, VA 23114-3093 2009-07-15
1821241365 Andrew Charles Cox Psychologist 13354 Midlothian Tpke Ste 200, Midlothian, VA 23113-4258 2008-10-28
1174771737 Melinda Beth Moore Psychologist 15521 Midlothian Turnpike, Suite 105, Midlothian, VA 23114 2008-09-08
1689861247 Mary Hill Bradshaw Psychologist 5715 Saddle Hill Dr, Midlothian, VA 23112-2383 2007-09-27
1952429722 Eric Robert Braen Psychologist 13801 Village Mill Dr Ste 105, Midlothian, VA 23114-4382 2007-03-27
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Competitor

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City MIDLOTHIAN
Zip Code 23113

Improve Information

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Dataset Information

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.

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