Provider Demographics
NPI:1801830203
Name:HIGGINSON, KATE AUGUST (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KATE
Middle Name:AUGUST
Last Name:HIGGINSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:KATE
Other - Middle Name:ELIZABETH
Other - Last Name:AUGUST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1215 LEE ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0816
Practice Address - Country:US
Practice Address - Phone:434-924-6985
Practice Address - Fax:434-244-7551
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4915363A00000X
VA0110005809363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q29820Medicare UPIN