Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathleen Ellison, MD

Individual provider Dermatology Physician · NPI 1134516271

Dr. Kathleen Ellison, MD is a Dermatology in Fairfax, Virginia. Graduated from East Tennessee State University Quillen College of Medicine in 2015, 11 years ago. Practices with Derm Associates LLC, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
11
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
VA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8316 Arlington Blvd Ste 400
Fairfax, VA 22031-5216
Phone: (703) 641-0083
Fax: (703) 641-0085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 0101267527 (VA)

Record details

NPI number1134516271
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2015
Last updated in NPPESOctober 9, 2019
Mailing address5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Derm Associates Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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