CAITLIN ELISE MCKEARNEY (NPI# 1982109641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982109641 |
| Entity Type | Individual |
| Full Name | CAITLIN ELISE MCKEARNEY |
| Credential | PNP |
| Practice Address |
12722 Directors Loop Woodbridge VA 22192-2462 |
| Practice Telephone | 7034921400 |
| Mailing Telephone | 7034921400 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024175996 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12722 DIRECTORS LOOP |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154567352 | Manpreet Sidhu | Pediatrics | 12722 Directors Loop, Woodbridge, VA 22192-2462 | 2008-12-18 |
| 1689965865 | Prince William Pediatrics and Adolescent Center | Clinic/Center | 12722 Directors Loop, Woodbridge, VA 22192-2462 | 2011-04-22 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962471623 | Jane Elizabeth Heiertz | Nurse Practitioner | 1990 Old Bridge Rd, Ste 101 All Pediatrics, Woodbridge, VA 22192-2383 | 2006-03-15 |
| 1437137791 | Sheryl C Weinstein | Nurse Practitioner | 684 Belmont Bay Dr, Woodbridge, VA 22191-5401 | 2006-01-06 |
| 1518396985 | Leslie Stoeckle | Nurse Practitioner | 1924 Opitz Blvd, Woodbridge, VA 22191 | 2013-11-06 |
| 1487087953 | Virginia Janise Jones | Nurse Practitioner | 14009 Minnieville Rd, Woodbridge, VA 22193-2310 | 2013-08-19 |
| 1275978561 | Raeshen Christian-forbes | Nurse Practitioner | 14009 Minnieville Rd, Woodbridge, VA 22193-2310 | 2013-05-01 |
| 1235481276 | Nadia S Ali | Nurse Practitioner | 14009 Minnieville Rd, Woodbridge, VA 22193-2310 | 2012-10-15 |
| 1629354360 | Meghan Anne Bernetich | Nurse Practitioner | 2200 Opitz Blvd Ste 355, Woodbridge, VA 22191-3340 | 2011-10-26 |
| 1013153220 | Adele E Young | Nurse Practitioner | 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192-8323 | 2008-12-18 |
| 1104096395 | Joyce Lynn Apted | Nurse Practitioner | 13001 Summit School Rd, Woodbridge, VA 22192-2903 | 2008-03-04 |
| 1164553442 | Betsy Giannuzzi | Nurse Practitioner | 1900 Opitz Blvd Ste A, Woodbridge, VA 22191 | 2007-03-08 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on CAITLIN ELISE MCKEARNEY.
| 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.