Individual provider Active NPI

Katherine Pauline Kitchen, PA

  • Physician Assistant
  • Huntington, WV
National Provider Identifier
1750686374
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01542 Issued in WV
Practice address
2827 5TH Ave
Huntington, WV 25702-1435
Phone
(304) 399-7182
Fax
(304) 523-7738
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01542 WV Primary

Addresses

Primary practice location

2827 5TH Ave
Huntington, WV 25702-1435

Mailing address

3075 US Route 60
Huntington, WV 25705-8859
Phone (304) 528-4600

Other identifiers 3

IdentifierTypeStateIssuer
7100317600MedicaidKY
0111148MedicaidOH
3089857OtherWVBCBS

Other names 1

  • Katherine Pauline Kinder Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katherine.kitchen@smmm.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121101000162 WV Practitioner - Physician Assistant 1850541681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S Medical Management, LLCGroup PAC ID 5890897151, 92 clinicians

Practice addresses (Care Compare)

2827 5TH Ave
Huntington, WV 25702-1435
Phone (304) 399-7182

2828 1St Ave
Huntington, WV 25702-1241

2900 1St Ave
Huntington, WV 25702-1241

Hospital & facility affiliations

  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01542WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Medical Management, LLC Physician Assistant CurrentSince Aug 27, 2014 Accepting new patients

Locations

2827 5th Ave
Huntington, WV 25702
Phone (304) 399-7182

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

Interoperability endpoints

  • Direct secure messaging: katherine.kitchen@smmm.cernerdirect.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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1750686374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257058859",
            "telephone_number": "304-528-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021435",
            "telephone_number": "304-399-7182",
            "fax_number": "304-523-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "KATHERINE",
        "middle_name": "PAULINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100317600",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111148",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3089857",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.kitchen@smmm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2827 5th Ave",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257021435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "KINDER",
            "middle_name": "PAULINE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.