Healthcare Provider Details

I. General information

NPI: 1992665731
Provider Name (Legal Business Name): CATHERINE LINDSEY MCCRARY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 BATTLEFIELD BLVD N
CHESAPEAKE VA
23320-4941
US

IV. Provider business mailing address

109 GAINSBOROUGH SQ STE G723
CHESAPEAKE VA
23320-1707
US

V. Phone/Fax

Practice location:
  • Phone: 757-490-9388
  • Fax: 757-312-6181
Mailing address:
  • Phone: 757-490-9388
  • Fax: 757-312-6181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110012364
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: