MRS. KATHRYN COSTELLO ADAMS (NPI# 1609856798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609856798 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN COSTELLO ADAMS |
| Other Name | MS. KATHRYN LILLIAN COSTELLO |
| Credential | PA-C |
| Practice Address |
14450 Smoketown Rd Woodbridge VA 22192-4712 |
| Mailing Address |
17567 Wayside Dr Dumfries VA 22026-4513 |
| Practice Telephone | 7035761419 |
| Practice Fax Number | 7035761414 |
| Mailing Telephone | 7032214776 |
| Mailing Fax Number | 7035761414 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110001270 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669902565 | Kathryn Lorraine Adams | Registered Nurse | 452 W 10th Ave Fl Rhh1, Columbus, OH 43210-1240 | 2017-06-14 |
| 1578824041 | Kathryn Mccalla Adams | Psychiatry & Neurology | 7308 Alma Dr, Plano, TX 75025-3568 | 2012-05-31 |
| 1679641021 | Kathryn Bea Adams | Counselor | 225 Forest Park Cir, Panama City, FL 32405-4920 | 2006-12-02 |
| 1720038102 | Kathryn Ann Adams | Counselor | 1040 3rd St, 2nd Floor, Beaver, PA 15009-2026 | 2006-05-10 |
| 1609483528 | Kathryn Mollie Adams | Nurse Practitioner | 1800 N 12th St, Reading, PA 19604-1545 | 2020-09-24 |
| 1114538147 | Kathryn Lynn Adams | Behavior Technician | 5465 Able Ct, Mobile, AL 36693-3100 | 2020-08-13 |
| 1437668027 | Kathryn Ann Adams | Nurse Practitioner | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2017-09-26 |
| 1659818698 | Kathryn Adams | Nurse Practitioner | 5710 Sugarloaf Pkwy, Lawrenceville, GA 30043-7834 | 2017-01-29 |
| 1659737963 | Kathryn Rachel Adams | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2016-01-04 |
| 1245605393 | Kathryn Adams | Psychologist | 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560-9815 | 2015-12-01 |
| Street Address |
14450 SMOKETOWN RD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588654990 | Department of Defense | Clinic/Center | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2005-10-26 |
| 1437451317 | Samuel Kibe Wambui | Occupational Therapist | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2010-11-25 |
| 1851491047 | Joyce Headen | Nurse Practitioner | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-09-25 |
| 1376518159 | Sheila Gail Redmond | Social Worker | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-02-23 |
| 1639144983 | Karen M Vonderhaar | Dietitian, Registered | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-02-21 |
| 1750356499 | Colleen Mcinnes | Nurse Practitioner | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-02-17 |
| 1972575058 | Mary Lou Guerrina | Nurse Practitioner | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-02-03 |
| 1417928029 | Daniel T Whang | Optometrist | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-01-31 |
| 1356311690 | Deborah Therese Weimer-bryson | Nurse Practitioner | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-01-26 |
| 1700856333 | Cuong Hoang Do | Family Medicine | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942601075 | Joseph Christopher Luna | Physician Assistant | 2941 Truffle Oak Place, Woodbridge, VA 22191 | 2014-09-08 |
| 1932338803 | Karry Elizabeth Simons | Physician Assistant | 12741 Darby Brook Cr, Suite 201, Woodbridge, VA 22192 | 2009-07-13 |
| 1265962385 | Evan T Davies | Physician Assistant | 2296 Opitz Blvd Ste 230, Woodbridge, VA 22191-3345 | 2017-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962038042 | Emma Alexandra Rouse | Physician Assistant | 2712 Hatmark St, Vienna, VA 22181-6054 | 2020-03-20 |
| 1861059461 | Daniel P Sherman | Physician Assistant | 43165 Thistledown Ter Apt 241, Broadlands, VA 20148-4075 | 2019-05-20 |
| 1184289753 | Vicenta Hanh-phuoc Tran | Physician Assistant | 7611 Trammell Rd, Annandale, VA 22003-1442 | 2019-05-08 |
| 1649833021 | Karlie Diruzza | Physician Assistant | 2900 Lamb Cir # L760, Christiansburg, VA 24073-6344 | 2019-04-21 |
| 1164983599 | Bradley Pretzer | Physician Assistant | 5115 Cliffhaven Dr, Annandale, VA 22003-4348 | 2019-03-28 |
| 1346757416 | Hinda Yasmin Mezaache | Physician Assistant | 1101 Sam Perry Blvd Ste 219, Fredericksburg, VA 22401-4465 | 2018-01-10 |
| 1265974851 | Gerard Surgical Services, LLC | Physician Assistant | 12220 Chattanooga Plz Ste 121, Midlothian, VA 23112-4865 | 2016-11-14 |
| 1417301607 | Jose Gustavo Espino | Physician Assistant | 6866 Deer Run Dr, Alexandria, VA 22306-1124 | 2016-04-14 |
| 1477915098 | Kelly Egan Weaver | Physician Assistant | 1201 Broad Rock Blvd Richmond Va 23224, Richmond, VA 23249-4915 | 2016-03-23 |
| 1871976522 | Hall Surgical Assistance, LLC | Physician Assistant | 10332 Main St, Suite #344, Fairfax, VA 22030-2410 | 2015-06-30 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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| 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.