Provider Demographics
NPI:1083960272
Name:HUGHES, KATHERINE BIXBY (NP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BIXBY
Last Name:HUGHES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 E MARKET ST STE 102
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-4475
Mailing Address - Country:US
Mailing Address - Phone:571-334-9759
Mailing Address - Fax:571-569-0569
Practice Address - Street 1:722 E MARKET ST STE 102
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4475
Practice Address - Country:US
Practice Address - Phone:571-334-9759
Practice Address - Fax:855-291-6306
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC001504363LF0000X, 363LP0808X
VA0024170155363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily