Individual provider Active NPI

Katelynn Hillman, MD

  • Pediatrics Physician
  • Vienna, VA
National Provider Identifier
1164957825
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101269363 Issued in VA
Practice address
410 Maple Ave W Ste 5&6
Vienna, VA 22180-4240
Phone
(703) 938-2244
NPI assigned
May 1, 2017
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 0101269363 VA Primary

Addresses

Primary practice location

410 Maple Ave W Ste 5&6
Vienna, VA 22180-4240

Mailing address

10455 White Granite Dr Ste 150
Oakton, VA 22124-2785
Phone (703) 359-5100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727002996 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5799055414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101269363VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Pediatrics, Inc Pediatrics Past Accepting new patients
Captial Area Pediatrics, Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katelynn.hillman.1@16203.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1164957825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 WHITE GRANITE DR STE 150",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242785",
            "telephone_number": "703-359-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MAPLE AVE W STE 5&6",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804240",
            "telephone_number": "703-938-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "KATELYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101269363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.