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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810005772 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Street Address |
15521 MIDLOTHIAN TPKE STE 105 |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23113-7313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255974135 | Stephanie Marie Dawkins | Social Worker | 15521 Midlothian Tpke Ste 105, Midlothian, VA 23113-7313 | 2019-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1205118163 | Rebecca Barton | Pharmacist | 10401 Midlothian Tnpk, Midlothian, VA 23113 | 2011-09-15 |
| Find all providers in zip 23113 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| 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 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23113 |
Please comment or provide details below to improve the information on KAITLIN ELIZABETH BOUNTRESS.
| 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.