KATHLEEN ELIZABETH MARES (NPI# 1720038862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720038862 |
| Entity Type | Individual |
| Full Name | KATHLEEN ELIZABETH MARES |
| Credential | CANP |
| Practice Address |
8109 Hinson Farm Rd Ste 504 Alexandria VA 22306-3411 |
| Mailing Address |
7764 Armistead Rd Ste 240 Lorton VA 22079-1920 |
| Practice Telephone | 7037802800 |
| Practice Fax Number | 7037800461 |
| Mailing Telephone | 5713594000 |
| Mailing Fax Number | 7036213793 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024062894 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 5374 | 01 | |
| BCBS-DC | 0018 | 01 | |
| BCBS-VA | 1720038862 | 01 | |
| EVERCARE | 8304870 | 01 |
| Street Address |
8109 HINSON FARM RD STE 504 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22306-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316598758 | Privia Medical Group, LLC | Podiatrist | 8109 Hinson Farm Rd Ste 504, Alexandria, VA 22306-3411 | 2019-09-26 |
| 1750938684 | Rebecca Johnson | Registered Nurse | 8109 Hinson Farm Rd Ste 504, Alexandria, VA 22306-3411 | 2019-08-26 |
| 1336626142 | Lexi Vick | Nurse Practitioner | 8109 Hinson Farm Rd Ste 504, Alexandria, VA 22306-3411 | 2018-07-24 |
| 1194242610 | Melissa Hewitt | Nurse Practitioner | 8109 Hinson Farm Rd Ste 504, Alexandria, VA 22306-3411 | 2017-08-25 |
| 1215382940 | Sarah Dennemeyer | Family Medicine | 8109 Hinson Farm Rd Ste 504, Alexandria, VA 22306-3411 | 2016-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450412 | Felicia Aboagye | Registered Nurse | Gartlan Center, 8119 Holland Road, Alexandria, VA 22306 | 2019-10-30 |
| 1306490727 | Quality Care Services LLC | Home Health | 6969 Richmond Highway, Suite 203, Alexandria, VA 22306 | 2019-07-25 |
| 1902388325 | James Mompoint | Behavioral Analyst | 3400 State St Suite G750, Salem, OR 22306 | 2018-09-01 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1164881397 | Luke Maxwell Dillon | Family Medicine | Calle Padre Ugarte #3260, Otay, BAJA CALIFORNIA 22306 | 2016-02-16 |
| 1063892743 | Bridgitte Matthews | Physical Therapist | 6856 Richmond Hwy, Alexandria, VA 22306 | 2015-06-08 |
| 1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
| 1689919847 | Kings Crossing Optometry, LLC | Optometrist | 6307-d Richmond Highway, Alexandria, VA 22306 | 2012-11-29 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| Find all providers in zip 22306 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518466424 | Julia Bossemeyer Camargo | Nurse Practitioner | 4660 Kenmore Ave Ste 1210, Alexandria, VA 22304-1311 | 2018-02-06 |
| 1023419900 | Cathleen Scully | Nurse Practitioner | 6355 Walker Ln Ste 505, Alexandria, VA 22310-3251 | 2014-09-10 |
| 1194928093 | Lydia K Hurley | Nurse Practitioner | 5845 Richmond Hwy Ste 150, Alexandria, VA 22303-1868 | 2007-06-07 |
| 1962494849 | Gail Frances | Nurse Practitioner | 2839 Duke St, Alexandria, VA 22314-4512 | 2005-08-17 |
| 1982607248 | Patricia Porter Adams | Nurse Practitioner | 8621 Fort Hunt Rd, Alexandria, VA 22308 | 2005-05-31 |
| 1497225429 | Metasebia Terefe Shiferaw | Nurse Practitioner | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2018-12-03 |
| 1306315486 | Maxwell Alan Berscheit | Nurse Practitioner | 610 30th Ave W, Alexandria, MN 56308-3426 | 2018-11-18 |
| 1801339031 | Patricia Porter Adams Anp LLC | Nurse Practitioner | 8621 Fort Hunt Rd, Alexandria, VA 22308-2522 | 2016-11-20 |
| 1285004572 | Donna Cyrus | Nurse Practitioner | 50 S Pickett St, Suite 221, Alexandria, VA 22304-7207 | 2015-09-30 |
| 1063895118 | Robin Korin | Nurse Practitioner | 8109 Hinson Farm Rd, Suite 504, Alexandria, VA 22306-3415 | 2015-07-08 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22306 |
Please comment or provide details below to improve the information on KATHLEEN ELIZABETH MARES.
| 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.