MRS. KRYSTIN TREGO (NPI# 1063881779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063881779 |
| Entity Type | Individual |
| Full Name | MRS. KRYSTIN TREGO |
| Other Name | MS. KRYSTIN JANSEN |
| Credential | PA-C |
| Practice Address |
2700 Quarry Lake Dr Ste 300 Baltimore MD 21209-3746 |
| Mailing Address |
1818 Cassandra Dr Unit 104 Eldersburg MD 21784-6952 |
| Practice Telephone | 4103778900 |
| Practice Fax Number | 4103770576 |
| Mailing Telephone | 4109675310 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C05891 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Bel Air South Pkwy, Suite 1535, Bel Air, MD 210156091 | 4105690044 |
| Street Address |
2700 QUARRY LAKE DR STE 300 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21209-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437187002 | Donald S. Diefendorf | Physician Assistant | 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209 | 2006-06-30 |
| 1487125340 | Jennifer M Pederson | Physician Assistant | 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 | 2018-12-17 |
| 1013426477 | Ariana Karnado | Physician Assistant | 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209 | 2017-09-28 |
| 1972027779 | Rebecca Webb | Physician Assistant | 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 | 2017-08-02 |
| 1336698497 | Paula Christel Santos Mercado | Physician Assistant | 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 | 2016-09-29 |
| 1801344403 | Etai David Gamliel | Physical Therapist | 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 | 2016-09-13 |
| 1184178097 | Sarah Koteen Scheff | Physical Therapist | 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209 | 2016-08-09 |
| 1942754833 | Steven Shinsky | Physical Therapist | 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 | 2016-08-08 |
| 1356603260 | Morenikeji Ayodele Buraimoh | Orthopaedic Surgery | 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209 | 2012-06-15 |
| 1861754830 | Sarah Baker | Registered Nurse | 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 | 2012-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996239 | Esther Deena Kahn | Occupational Therapist | 2325 Blackberry Rd, Baltimore, MD 21209 | 2020-06-10 |
| 1356988059 | Bunny's Home Care, LLC | Home Health Aide | 1340 Smith Avenue, Baltimore, MD 21209 | 2019-12-02 |
| 1982241626 | Mary Della-davis | Technician, Other | 1621 Sulgrave Ave, Attn: Village Electrolysis, Baltimore, MD 21209 | 2019-12-02 |
| 1982161246 | Sylvia Stewart Powell | Social Worker | 4600 Falls Road, Baltimore, MD 21209 | 2019-02-22 |
| 1811452279 | Honeyb Wellness | Counselor | 4639 Falls Rd, Baltimore, MD 21209 | 2019-02-09 |
| 1417448861 | Ting-jia Rosalinda Huang Lorigiano | Student in an Organized Health Care Education/Training Program | 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-05-22 |
| 1427546126 | Lea Jane Selitsky | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-04-27 |
| 1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
| 1083118418 | Jerome N Beck | Speech-Language Pathologist | 5710 Newbury St., Baltimore, MD 21209 | 2018-03-21 |
| 1700309002 | Michelle Demeule-hayes | Dietitian, Registered | 1708 West Rogers Ave, Baltimore, MD 21209 | 2017-07-19 |
| Find all providers in zip 21209 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1245718733 | Kaitlyn Ayerle | Physician Assistant | 9900 Franklin Square Dr Ste B, Baltimore, MD 21236-5915 | 2018-08-06 |
| 1376037572 | Marie Hoffman | Physician Assistant | 1838 Greene Tree Rd Ste 400, Baltimore, MD 21208-7103 | 2018-06-20 |
| 1902315625 | Randy Kimery | Physician Assistant | 3421 Benson Ave Ste 210, Baltimore, MD 21227-1064 | 2017-09-26 |
| 1447701958 | Yuliya Shmyga Fischer | Physician Assistant | 345 St Paul Pl, Baltimore, MD 21202-1937 | 2016-10-19 |
| 1851845655 | Tamarah Thompson | Physician Assistant | 1830 E Monument St Ste 452, Baltimore, MD 21287-0020 | 2016-08-09 |
| 1194194449 | Alexzandra Kristyna Briedis | Physician Assistant | 1311 Olive St, Baltimore, MD 21230-4255 | 2015-09-16 |
| 1295124030 | Miriam Weiss | Physician Assistant | 6602 Troy Ct, Baltimore, MD 21209-2636 | 2015-01-16 |
| 1972992824 | Kelley Crane | Physician Assistant | 4940 Eastern Ave Ste A-150, Baltimore, MD 21224-2735 | 2015-01-15 |
| 1447688353 | Adina Bergmann | Physician Assistant | 3630 Milford Mill Rd, Baltimore, MD 21244-3328 | 2013-10-31 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.