Kathryn Renee Mueller

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110004955 Issued in VA

Practice address

282 Westlake Rd
Hardy, VA 24101

Phone

(540) 721-2689

Fax

(540) 721-3623

NPI assigned

Mar 7, 2013

Last updated

Mar 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1598006181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 WESTLAKE RD",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241013967",
            "telephone_number": "540-721-2689",
            "fax_number": "540-721-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 WESTLAKE RD",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "24101",
            "telephone_number": "540-721-2689",
            "fax_number": "540-721-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Short St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503233",
            "country_code": "US",
            "telephone_number": "517-442-8305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "KATHRYN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Martin, PA-C
• Stephanie Nicole May, FNP-C
• Med-Trans Corporation
• Menm, LLC (Miracle-Ear)
• Saeed Mohebi, DDS
• Christopher Olsen, DO
• Alexandra Marie Olson, DPT, PT
• Laurie Patterson
• Elaine Pelletier, PT
• Pamela Marie Perdue

• Physician Assistant in Hardy, VA
• Providers in Hardy, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.