KRYSTLE YVONNE HARRIS (NPI# 1114207248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114207248 |
| Entity Type | Individual |
| Full Name | KRYSTLE YVONNE HARRIS |
| Credential | PA-C |
| Practice Address |
300 Tuskegee Blvd Bldg 300 Dover DE 19902-5003 |
| Practice Telephone | 3026772600 |
| Mailing Telephone | 3026772600 |
| Enumeration Date | 2011-08-20 |
| Last Update Date | 2014-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TX | Student, Health Care |
| Street Address |
300 TUSKEGEE BLVD BLDG 300 |
| City | DOVER |
| State | DE |
| Zip Code | 19902-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598390460 | Mary Berry | Physician Assistant | 300 Tuskegee Blvd, Dover, DE 19902-5003 | 2020-03-11 |
| 1679023584 | Cristina Hough | Physician Assistant | 300 Tuskegee Blvd, Dover, DE 19902-5003 | 2016-10-04 |
| 1689072795 | Sarah Beth Bobnick | Family Medicine | 300 Tuskegee Blvd, Dover, DE 19902-5003 | 2014-12-05 |
| 1316360555 | Susan Donges | Social Worker | 300 Tuskegee Blvd, Dover, DE 19902 | 2014-01-23 |
| 1245576370 | Kathleen A Corcoran | Family Medicine | 300 Tuskegee Blvd, 3rd Floor Flight Medicine, Dover, DE 19902-5003 | 2012-12-18 |
| 1871869453 | Rose Hong Tran | Dentist | 300 Tuskegee Blvd, Dover, DE 19902-5003 | 2012-03-28 |
| 1033497466 | Michael Scott Richards | Physical Therapist | 300 Tuskegee Blvd, Dover, DE 19902-5003 | 2011-08-03 |
| 1275821290 | Shanita Webb | Nurse Practitioner | 300 Tuskegee Blvd, Dover Afb, Dover, DE 19902-5003 | 2011-07-11 |
| 1801031570 | Nathan Tye Smith | Psychologist | 300 Tuskegee Blvd, Dover Afb, Dover, DE 19902 | 2008-12-10 |
| 1376709600 | Brian L. Jones | Psychologist | 300 Tuskegee Blvd, 436 Mdg, Dover, DE 19902-5300 | 2008-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316434632 | Leanne Mccarron | Dentist | Dover Afb, 436 Omrs/sgpd, Apo, AA 19902 | 2018-04-23 |
| 1568892446 | Ami Campbell | Veterinarian | 643 Atlantic Ave, Dover, DE 19902 | 2013-11-14 |
| 1609135045 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 266, Arnold Drive, Dover Afb, DE 19902 | 2012-05-04 |
| 1700080363 | Dori Mitchell Franco | Pathology | 115 Purple Heart Ave, Dover Afb, DE 19902 | 2007-06-14 |
| 1235384926 | Terri Lynn Turchan | Social Worker | 300 Tuskegee, Dover Airforce Base, Dover, DE 19902-2849 | 2008-11-21 |
| 1982129300 | Catherine Tien | Dentist | 300 Tuskegee Blvd Bldg 304, Dover Afb, DE 19902-5003 | 2017-08-07 |
| 1679905889 | Jeremiah Goldberg | Social Worker | 300 Tuskegee Blvd Bldg 300, Dover Afb, DE 19902-5003 | 2013-07-30 |
| 1467852871 | Geoffrey Borro | Dietitian, Registered | 300 Tuskegee Blvd Bldg 300, Dover Air Force Base, DE 19902-5003 | 2014-09-04 |
| 1144635350 | Fahad Pervez | Family Medicine | 300 Tuskegee Blvd Bldg 300, Dover Afb, DE 19902-5003 | 2014-06-25 |
| 1215039086 | Alice Jean Briones | Pathology | 115 Purple Heart Ave, Dover Afb, DE 19902-5051 | 2006-09-02 |
| Find all providers in zip 19902 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922643139 | Kayla Sharese Beauplan | Physician Assistant | 644 S Queen St Ste 106, Dover, DE 19904-3543 | 2019-11-12 |
| 1598313793 | Neil Mast | Physician Assistant | 515 Union Ave Ste 157, Dover, OH 44622-3005 | 2019-08-30 |
| 1699339317 | Diana Kay Fizette | Physician Assistant | 13014 Binnion Dr, Dover, FL 33527-3661 | 2019-04-29 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1508332149 | Kerri Taylor | Physician Assistant | 1125 Forrest Ave Ste 203, Dover, DE 19904-3483 | 2018-10-22 |
| 1841716909 | Tara Kay | Physician Assistant | 1113 S State St Ste 100, Dover, DE 19901-4112 | 2017-08-20 |
| 1356861918 | Brielle Camille Greco | Physician Assistant | 655 S Bay Rd Ste 1, Dover, DE 19901-4615 | 2017-06-26 |
| 1710407671 | Alicia Kelley Wilber | Physician Assistant | 750 Central Ave Ste N, Dover, NH 03820-3434 | 2017-06-22 |
| 1194194035 | Shawn Blackburn | Physician Assistant | 200 Banning St Ste 340, Dover, DE 19904-3490 | 2015-09-22 |
| 1851760094 | Sydney Scott | Physician Assistant | 200 Banning Street, Suite 340, Eden Hill Medical Center, Dover, DE 19904 | 2015-09-17 |
| Find all providers in DOVER | ||||
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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.