DR. KATHERINE GRACE FISHER (NPI# 1972733137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972733137 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE GRACE FISHER |
| Other Name | DR. KATHERINE GRACE FISHER |
| Credential | PSYD |
| Practice Address |
21001 Sycolin Rd Potomac Psychological Center, LLC Reston VA 20147 |
| Mailing Address |
37081 Gallop Ln Purcellville VA 20132-2866 |
| Practice Telephone | 7038587838 |
| Mailing Telephone | 7038618841 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2014-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004486 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871151621 | Katherine Anne Fisher | Specialist/Technologist | 6440 Queens Court Trce, Mableton, GA 30126-7227 | 2019-06-05 |
| 1720490899 | Katherine Bilbro Fisher | Nurse Practitioner | 319 Chapanoke Rd Ste 120, Raleigh, NC 27603-3433 | 2014-05-23 |
| 1720342132 | Katherine T Fisher | Licensed Practical Nurse | 2905 Cuylerville Rd, Leicester, NY 14481-9616 | 2012-06-29 |
| 1356542286 | Katherine Sue Fisher | Physical Therapist | 921 Alger St Se, Grand Rapids, MI 49507-3827 | 2007-05-29 |
| 1851949952 | Katherine Fisher | Registered Nurse | 25727 Mcbean Pkwy, Valencia, CA 91355-3704 | 2019-09-01 |
| 1295226280 | Katherine Elizabeth Fisher | Optometrist | 315 N Breiel Blvd, Middletown, OH 45042-3868 | 2018-05-24 |
| 1396135349 | Katherine Fisher | Counselor | 227 Colfax Ave N, Suite 130, Minneapolis, MN 55405-1402 | 2015-01-29 |
| 1881035533 | Katherine Fisher | Dental Hygienist | 1 Freedom Way, Augusta, GA 30904-6258 | 2013-07-10 |
| 1710231428 | Katherine Elizabeth Fisher | Acupuncturist | 1834 Nuuanu Ave, Ste # 201, Honolulu, HI 96817-2427 | 2012-11-01 |
| 1174805857 | Katherine Marie Fisher | Pharmacist | 9801 Brownsboro Rd, Louisville, KY 40241-1125 | 2011-09-19 |
| Street Address |
21001 SYCOLIN RD POTOMAC PSYCHOLOGICAL CENTER, LLC |
| City | RESTON |
| State | VA |
| Zip Code | 20147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275916413 | Claudia Patricia Amendola | Psychologist | 1818 Library St Ste 567, Reston, VA 20190-6242 | 2015-07-07 |
| 1578970224 | Lauren King Wall | Psychologist | 1810 Michael Faraday Dr Ste 204, Reston, VA 20190-5330 | 2014-07-15 |
| 1144505082 | Abram Sterne | Psychologist | 11150 Sunset Hills Road, Suite 150, Family Compass, Reston, VA 20190 | 2011-10-11 |
| 1568741841 | Tara Luv Travia | Psychologist | 11250 Roger Bacon Dr Ste 2, Reston, VA 20190-5202 | 2011-08-04 |
| 1083751648 | Linda Rose Goglia | Psychologist | 11333 Sunset Hills Road, Linda R Goglia Phd, Reston, VA 20190-5205 | 2007-01-31 |
| 1043362197 | Charles Ernest Burt | Psychologist | 1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312 | 2007-01-17 |
| 1952467664 | Carlos Durana | Psychologist | 11417 Tanbark Dr, Reston, VA 20191-4103 | 2006-12-28 |
| 1932269339 | Mary Jo Smrekar | Psychologist | 11231 Handlebar Rd, Reston, VA 20191-3907 | 2006-12-08 |
| 1962578195 | Robert P. Rugel | Psychologist | 11506 Purple Beech Dr, Reston, VA 20191-1328 | 2006-11-28 |
| 1225148976 | Sarita Bobrick Kaplan | Psychologist | 11333 Sunset Hill Road, Reston, VA 20190-5205 | 2006-08-30 |
| Find all providers in RESTON | ||||
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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.