Individual provider Active NPI

Katheryn Ann Soto, PA-C

  • Physician Assistant
  • Leesburg, VA
National Provider Identifier
1982267415
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-006627 Issued in VA
Practice address
19441 Golf Vista PLZ Ste 230
Leesburg, VA 20176-8271
Phone
(703) 729-3420
Fax
(703) 729-3422
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0008819 MD
Physician Assistant 363A00000X PA200001600 DC
Physician Assistant 363A00000X 0110-006627 VA Primary

Addresses

Primary practice location

19441 Golf Vista PLZ Ste 230
Leesburg, VA 20176-8271

Mailing address

PO Box 3250
Winchester, VA 22604-2450
Phone (703) 673-4490

Other identifiers 3

IdentifierTypeStateIssuer
1982267415MedicaidVA
0110-006627OtherVASTATE LICENSE
30016147540001MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190612001497 DC Practitioner - Physician Assistant 2264765957 Reassigns benefits to 1 organization
I20190702002197 VA Practitioner - Physician Assistant 2264765957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Sleep Care Center IncGroup PAC ID 8022171800, 16 clinicians

Practice addresses (Care Compare)

4080 Lafayette Ctr Dr
Suite 170C
Chantilly, VA 20151-1248
Phone (703) 729-3420

6000 Executive Blvd
Suite 604
North Bethesda, MD 20852-3830
Phone (703) 729-3420

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA200001600DCMDPhysician Assistant
C0008819MDMDPhysician Assistant
0110-006627VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Sleep Care Center, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Comprehensive Sleep Care Center Inc CurrentSince Jun 1, 2025 Accepting new patients
Comprehensive Sleep Care Center Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

621 Ridgely Ave
Ste 402
Annapolis, MD 21401

12850 Middlebrook Rd
Ste 250
Germantown, MD 20874
Phone (240) 361-2056

6000 Executive Blvd
Ste 604
Rockville, MD 20852

5901 Kingstowne Village Pkwy
Ste 101
Alexandria, VA 22315
Phone (703) 778-3774

200 N Glebe Rd
Ste 316
Arlington, VA 22203

4080 Lafayette Center Dr
Ste 170C
Chantilly, VA 20151

3687 Fettler Park Dr
Dumfries, VA 22025
Phone (540) 666-6181

3687 Fettler Park Dr
Slp Care
Dumfries, VA 22025

605 Emancipation Hwy
Ste 2B
Fredericksburg, VA 22401

605 Emancipation Hwy
Slp Care
Fredericksburg, VA 22401

19441 Golf Vista Plz
Ste 230
Leesburg, VA 20176
Phone (703) 724-7474

19441 Golf Vista Plz
Ste 310
Leesburg, VA 20176

9420 Forestwood Ln
Ste 202
Manassas, VA 20110

4897 Prince William Pkwy
Ste 102
Woodbridge, VA 22192

Interoperability endpoints

  • Direct secure messaging: katheryn.soto@lmgcscc.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1982267415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3250",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226042450",
            "telephone_number": "703-673-4490",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLZ STE 230",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768271",
            "telephone_number": "703-729-3420",
            "fax_number": "703-729-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "KATHERYN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008819",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA200001600",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982267415",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0110-006627",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016147540001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.