Kaitlyn Christine Proctor, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102207896 Issued in VA

Practice address

12655 Warwick Blvd # a
Newport News, VA 23606-2501

Phone

(757) 595-9880

NPI assigned

Apr 5, 2021

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Family Practice

Education

Edward Via Col of Osteo Medicine-Virginia Campus, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medi Home Health Agency Home health agency, Chesapeake, VA, CCN 497580
• Commonwealth Home Care Home health agency, Portsmouth, VA, CCN 497775
• Amedisys Home Health of Newport News Home health agency, Hampton, VA, CCN 497091
• Virginia Health Home Care Home health agency, Newport News, VA, CCN 497677
• Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
• Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
• Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041
• Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130
• Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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.

• Tidewater Physicians Multispecialty Group PC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1902848294
  Medicare reassignment Care Compare group NPD
• Tidewater Physicians Multispecialty Group PC

  • Ambulatory Surgical Clinic/Center
  • Williamsburg, VA
  • NPI 1316790512
  NPD

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

• Amedisys Home Health of Virginia LLC

  • Home Health Agency
  • Hampton, VA
  • NPI 1578511242
  Care Compare affiliation
• American Home Healthcare

  • Home Health Agency
  • Chesapeake, VA
  • NPI 1386277648
  Care Compare affiliation
• Mary Immaculate Hospital LLC

  • General Acute Care Hospital
  • Newport News, VA
  • NPI 1427064310
  Care Compare affiliation
• Medi Home Health Agency, Inc.

  • Home Health Agency
  • Chesapeake, VA
  • NPI 1124071766
  Care Compare affiliation
• Riverside Hospital Inc

  • General Acute Care Hospital
  • Newport News, VA
  • NPI 1366547747
  Care Compare affiliation
• Riverside Middle Peninsula Hospital Inc

  • General Acute Care Hospital
  • Gloucester, VA
  • NPI 1528162534
  Care Compare affiliation
• Sentara Hospitals

  • General Acute Care Hospital
  • Hampton, VA
  • NPI 1336109107
  Care Compare affiliation
• Sentara Hospitals

  • General Acute Care Hospital
  • Suffolk, VA
  • NPI 1376540138
  Care Compare affiliation
• Virginia Health Home Care, LLC

  • Home Health Agency
  • Newport News, VA
  • NPI 1568695278
  Care Compare affiliation

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1801475009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 WARWICK BLVD # A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062501",
            "telephone_number": "757-964-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 WARWICK BLVD # A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062501",
            "telephone_number": "757-595-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10510 Jefferson Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236013102",
            "country_code": "US",
            "telephone_number": "757-594-3800",
            "fax_number": "757-594-3184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "KAITLYN",
        "middle_name": "CHRISTINE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102207896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Progressive Healthcare Services, LLC
• Progressive Steps Family Services LLC
• Prosperity & Love HHC

• Family Medicine Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.