Provider Demographics
NPI:1033120191
Name:HOPKINS, CATHY ANN (PA)
Entity Type:Individual
Prefix:MISS
First Name:CATHY
Middle Name:ANN
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16000 JOHNSTON MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211
Mailing Address - Country:US
Mailing Address - Phone:276-258-1800
Mailing Address - Fax:276-258-1805
Practice Address - Street 1:16000 JOHNSTON MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211
Practice Address - Country:US
Practice Address - Phone:276-258-1800
Practice Address - Fax:276-258-1805
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA1358363A00000X
VA0110002869363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1033120191Medicaid
TN1516986Medicaid
VAP01075560OtherRAILROAD MEDICARE
VA345341OtherANTHEM BLUE CROSS BLUE SHIELD
TN4252640OtherBLUE CROSS BLUE SHIELD TENNESSEE
TN1516986Medicaid
VA1033120191Medicaid