KATLIN RAE PRITT (NPI# 1730558404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730558404 |
| Entity Type | Individual |
| Full Name | KATLIN RAE PRITT |
| Other Name | KATLIN RAE HASTIE |
| Credential | PA-C |
| Practice Address |
100 Tracy Way Charleston WV 25311-1257 |
| Practice Telephone | 3043434583 |
| Practice Fax Number | 3043439207 |
| Mailing Telephone | 3043434583 |
| Mailing Fax Number | 3043439207 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1930 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 TRACY WAY |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25311-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013984160 | Bone and Joint Surgeons Inc | Orthopaedic Surgery | 100 Tracy Way, Charleston, WV 25311 | 2006-03-07 |
| 1699279455 | Neurological Associates, Inc. | Podiatrist | 100 Tracy Way, Charleston, WV 25311-1257 | 2018-03-19 |
| 1366802928 | Lindsey Denee' Parsons | Nurse Practitioner | 100 Tracy Way, Charleston, WV 25311-1257 | 2016-02-25 |
| 1326443557 | Stacie Digman | Physician Assistant | 100 Tracy Way, Charleston, WV 25311-1257 | 2014-10-30 |
| 1629473061 | Caitlin Anne Miller | Physician Assistant | 100 Tracy Way, Charleston, WV 25311-1257 | 2014-10-28 |
| 1407026172 | Alison Nicole Poole | Physician Assistant | 100 Tracy Way, Charleston, WV 25311-1257 | 2008-03-10 |
| 1558573295 | Matthew Douglas Hamrick | Physician Assistant | 100 Tracy Way, Charleston, WV 25311-1257 | 2007-05-04 |
| 1205962180 | Amber Bays | Physical Therapist | 100 Tracy Way, Charleston, WV 25311-1257 | 2007-02-26 |
| 1699797829 | Mark David Henrich | Physical Therapist | 100 Tracy Way, Charleston, WV 25311-1257 | 2006-07-24 |
| 1669492815 | Jason Allan Castle | Orthopaedic Surgery | 100 Tracy Way, Charleston, WV 25311 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225476 | Darlene Lacy-carter | Technician | 1406 Milton Street, Charleston, WV 25311 | 2020-11-04 |
| 1942810452 | Joshua Reese | Technician | 1248 Valley Grove Rd, Charleston, WV 25311 | 2020-08-10 |
| 1538710785 | Pamela White | Technician | 542 Harmony Hollow Road, Charleston, WV 25311 | 2019-09-27 |
| 1780104083 | The Stairlift People, Inc | Public Health or Welfare | 2510 Kanawha Blvd East, Charleston, WV 25311 | 2017-06-27 |
| 1902271505 | Mary Workman | Registered Nurse | 1520 Wahington Street East, Charleston, WV 25311 | 2015-12-08 |
| 1871966564 | Ashley Nicole Lester | Occupational Therapy Assistant | 1000 Association Dr., Charleston, WV 25311 | 2015-11-04 |
| 1548671530 | Holly Markins | Social Worker | 300 Tracy Way, Charleston, WV 25311 | 2014-05-13 |
| 1124453964 | West Virginia Health Right, Inc. | Clinic/Center | 1520 Washington St. E., Charleston, WV 25311 | 2013-09-12 |
| 1457678005 | Sarah Lyn Tussey | Occupational Therapy Assistant | 1 Supthin Dr, Charleston, WV 25311 | 2010-04-22 |
| 1639344708 | Daymark Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1592 Washington Street East, Suite 2, Charleston, WV 25311 | 2008-04-29 |
| Find all providers in zip 25311 | ||||
| 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 |
|---|---|---|---|---|
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1083228514 | Andrea Denise Boan | Physician Assistant | 12 Commercial Row Apt A, Charleston, SC 29412-3641 | 2020-09-02 |
| 1194343673 | Andrew N Brewer | Physician Assistant | 171 Ashley Ave Ste 419, Charleston, SC 29425-8908 | 2020-07-10 |
| 1396361309 | Jacquelyn Joseph | Physician Assistant | 134 Howard Mary Dr Apt A, Charleston, SC 29412-9581 | 2020-06-25 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| 1093355521 | Virginia Noemi Escobar-cheng | Physician Assistant | 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 | 2020-01-13 |
| 1598300279 | Breanne Marie Wiekamp | Physician Assistant | 20 Scarlet Oak Ln Apt 3, Charleston, WV 25306-1128 | 2019-11-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25311 |
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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.