Cathalene Blake Christian, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110002395 Issued in VA

Practice address

44330 Mercure Ci.
Suite 240
Dulles, VA 20166

Phone

(571) 232-8601

Fax

(202) 444-2130

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Renewal Dermatology & Medspa, P.C.

  • Dermatology Physician
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  • NPI 1619232469

  DC

  Medicare reassignment
• MGMC, LLC

  • General Practice Physician
  • Washington, DC
  • NPI 1891797148

  DC

  Medicare reassignment
• MGMC LLC

  • Psychiatry Physician
  • Washington, DC
  • NPI 1316949654
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

• Ms. Cathalene Ann Blake Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2025.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1114137197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44330 MERCURE CI.",
            "address_2": "SUITE 240",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "20166",
            "telephone_number": "571-232-8601",
            "fax_number": "202-444-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44330 MERCURE CI.",
            "address_2": "SUITE 240",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "20166",
            "telephone_number": "571-232-8601",
            "fax_number": "202-444-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "CATHALENE",
        "middle_name": "BLAKE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "DC",
            "license": "PA030457",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110002395",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0003285",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHALENE",
            "last_name": "BLAKE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Herbert Fernando Bravo, MD
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• Asad Chaudhry
• Judith Okezie Chukueke
• Adrienne Wilbrecht Cronk, NP-C
• Jennifer Williams Culak, DPT
• Caroline D'Souza, M.D.
• Christina L Denton, FNP

• All providers in Dulles, VA
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.