Provider Demographics
NPI:1578609723
Name:MAY, KATHERINE (RNCS)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:RNCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2047 HARVEST DRIVE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6048
Mailing Address - Country:US
Mailing Address - Phone:540-722-3228
Mailing Address - Fax:540-722-7113
Practice Address - Street 1:2047 HARVEST DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2788
Practice Address - Country:US
Practice Address - Phone:540-722-3228
Practice Address - Fax:540-722-7113
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001086352163WP0809X
VA0015000390364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV541823623OtherACORDIA NATIONAL
VA541823623OtherCIGNA HEALTHCARE
VA016617OtherANTHEM BCBS
VA088767OtherOPTIMA SENTARA
VA890000079Medicare ID - Type UnspecifiedMEDICARE