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

Katherine Elizabeth Moore, PA-C

Individual provider Physician Assistant · NPI 1730818089

Katherine Elizabeth Moore, PA-C is a Physician Assistant in Fairfax, Virginia. Qualified in 2022, 4 years ago. Practices with Derm Associates LLC, a 43-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
4
Licensed in
MD, VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8316 Arlington Blvd Ste 401
Fairfax, VA 22031-5216
Phone: (703) 641-9666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11119 Rockville Pike Ste 205, Rockville, MD 20852-3143 — (301) 984-3376

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110008920 (VA)
Physician Assistant Taxonomy 363A00000X · Licence C09123 (MD)

Record details

NPI number1730818089
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 9, 2022
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Derm Associates Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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