Healthcare Provider Details

I. General information

NPI: 1720281926
Provider Name (Legal Business Name): KATY S. MACDONALD W.H.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 S MASON ST MSC 7901
HARRISONBURG VA
22807-9255
US

IV. Provider business mailing address

139 CENTRE ST PH 120
NEW YORK NY
10013-4559
US

V. Phone/Fax

Practice location:
  • Phone: 540-568-6178
  • Fax: 540-568-6176
Mailing address:
  • Phone: 888-731-8994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number500016348
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number500016348
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberTPAN2229
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberF360136
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024174428
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: