Active NPI
Kaitlyn Emily Douglas, PA-C
- Medical Physician Assistant
- Williamsburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 207 Bulifants Blvd Ste C
Williamsburg, VA 23188-5732 - Phone
- (757) 622-6315
- Fax
- (757) 622-7022
- NPI assigned
- Apr 8, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
207 Bulifants Blvd Ste C
Williamsburg, VA 23188-5732
Mailing address
6160 Kempsville Cir Ste 200a
Norfolk, VA 23502-3945
Phone (757) 622-6315
Other practice location 1
6160 Kempsville Cir Ste 200A
Norfolk, VA 23502-3945
Phone (757) 622-6315
Other names 1
- Kaitlyn Rauchwarg
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11842 Rock Landing Dr
Suite 120
Newport News, VA 23606-4437
Phone (757) 595-8816
1248 Perimeter Pkwy
Suite 482
Virginia Beach, VA 23454-5914
Phone (757) 496-5085
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 78.82
- Improvement activities
- 40
- Cost
- 80.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- kaitlynrauchwarg@pdsltd.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Dermatology Physician
- Norfolk, VA
- NPI 1417047952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1396487526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6160 KEMPSVILLE CIR STE 200A",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023945",
"telephone_number": "757-622-6315",
"fax_number": "757-622-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 BULIFANTS BLVD STE C",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885732",
"telephone_number": "757-622-6315",
"fax_number": "757-622-7022"
}
],
"practiceLocations": [
{
"address_1": "6160 Kempsville Cir Ste 200A",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235023945",
"country_code": "US",
"telephone_number": "757-622-6315",
"fax_number": "757-622-7022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGLAS",
"first_name": "KAITLYN",
"middle_name": "EMILY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-08",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLYN",
"last_name": "RAUCHWARG",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Williamsburg, VA
- Darianne Dolewski
- Charles J Donlan Jr., MD
- Donna M Corvette MD PLLC (Dermtology Center of Williamsburg)
- Stephanie Dorais, LPC, NCC
- Cecily Alexandra Dorough, LCSW
- Anne-Talbot Downey
- Mark C Downey, MD
- Dr Gregory M Schultz OD PC (Eye Center of Virginia)
- Dr Heather Banville PLLC
- Dr Jean M Clay, PC (Commonwealth Foot Care, Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.
- 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.