Active NPI
Kathleen Phillips Paul, M.D.
- Specialist
- Lynchburg, VA
National Provider Identifier
1952329062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101233392
- Practice address
- 1701 Thomson Dr
Suite 200
Lynchburg, VA 24501-1118 - Phone
- (434) 200-5925
- Fax
- (434) 200-5929
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0101233392 | VA | Primary |
Addresses
Primary practice location
1701 Thomson Dr
Suite 200
Lynchburg, VA 24501-1118
Mailing address
1701 Thomson Dr
Suite 200
Lynchburg, VA 24501-1118
Phone (434) 200-5925
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010265681 | Medicaid | VA | |
| 194407 | Other | VA | ANTHEM BCBS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1952329062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 THOMSON DR",
"address_2": "SUITE 200",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011118",
"telephone_number": "434-200-5925",
"fax_number": "434-200-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 THOMSON DR",
"address_2": "SUITE 200",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011118",
"telephone_number": "434-200-5925",
"fax_number": "434-200-5929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "KATHLEEN",
"middle_name": "PHILLIPS",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101233392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010265681",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS NUMBER",
"identifier": "194407",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
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- Patrick Henry Family Services Operations (Hope for Tomorrow Counseling)
- Nakeema Patrick, LPC
- Catherine Denny Patteson, OTR/L
- Taylor Patton, PA-C
- Carsyn Pauley, LMHC
- Albert Gordon Pavalonis, D.O.
- Elizabeth Dover Payne, RD
- Leslie Miller Payne, CPM
- Jesse Isaac Payton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.