Active NPI
Kaitlin Pond, P.A.
- Physician Assistant
- Fredericksburg, VA
National Provider Identifier
1023653995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110006972
- Practice address
- 2632 Salem Church Rd
Fredericksburg, VA 22407-6484 - Phone
- (540) 899-3440
- Fax
- (540) 899-3434
- NPI assigned
- Nov 14, 2019
- Last updated
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110006972 | VA | Primary |
Addresses
Primary practice location
2632 Salem Church Rd
Fredericksburg, VA 22407-6484
Mailing address
PO Box 419402
Boston, MA 02241-9402
Phone (855) 290-1552
Other names 1
- Kaitlin Van Winkler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6010 W Broad St
Suite 103
Richmond, VA 23230-2215
Phone (804) 306-3219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WHOA Behavioral Health
- Community/Behavioral Health Agency
- Richmond, VA
- NPI 1497148480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1023653995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419402",
"city": "BOSTON",
"state": "MA",
"postal_code": "022419402",
"telephone_number": "855-290-1552",
"fax_number": "336-774-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2632 SALEM CHURCH RD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224076484",
"telephone_number": "540-899-3440",
"fax_number": "540-899-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POND",
"first_name": "KAITLIN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-14",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLIN",
"last_name": "VAN WINKLER",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.