KRISTEN J SMITH (NPI# 1194115089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194115089 |
| Entity Type | Individual |
| Full Name | KRISTEN J SMITH |
| Credential | PA-C |
| Practice Address |
2 Penn Blvd Ste 103 Philadelphia PA 19144-1402 |
| Mailing Address |
2 Penn Boulevard Suite 103 Philadeplhia PA 19144 |
| Practice Telephone | 2158420406 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2017-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | OA004218 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA057448 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690961 | Kristen Smith | Speech-Language Pathologist | 5742 Laurel Ridge Dr, Snow Camp, NC 27349-9221 | 2020-05-09 |
| 1750941365 | Kristen Marie Smith | Psychologist | 3125 Independence Dr Ste 114, Birmingham, AL 35209-4163 | 2019-06-17 |
| 1235600123 | Kristen Dunford Smith | Physical Therapist | 8115 Market St Ste 108, Wilmington, NC 28411-8429 | 2018-12-17 |
| 1205304417 | Kristen Smith | Counselor | 2371 Fieldcrest Dr, Rockwall, TX 75032-9219 | 2018-11-06 |
| 1699241935 | Kristen Smith | Physician Assistant | 8310 Sycamore Rd, Millersville, MD 21108-1245 | 2018-10-14 |
| 1851825111 | Kristen Smith | Speech-Language Pathologist | 198 Sandra Cir, Burlington, VT 05408-1033 | 2017-04-13 |
| 1366999005 | Kristen Smith | Behavioral Analyst | 21 Bartlett Pl, Brooklyn, NY 11229-6087 | 2016-09-09 |
| 1396103958 | Kristen Smith | Advanced Practice Midwife | 6488 Weddington Monroe Rd, Wesley Chapel, NC 28104 | 2016-02-10 |
| 1235535725 | Kristen Smith | Physical Therapy Assistant | 240 Branchview Drive Nw, Apt 304, Concord, NC 28025 | 2014-11-10 |
| 1386077618 | Kristen Smith | Physical Therapist | 157 Crooked Run Dr, New Bern, NC 28560-1806 | 2013-08-09 |
| Street Address |
2 PENN BLVD STE 103 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649802711 | Chantell Deshields | Nurse Practitioner | 2 Penn Blvd Ste 103, Philadelphia, PA 19144-1402 | 2020-02-06 |
| 1982234035 | Katelyn Weeber | Pediatrics | 2 Penn Blvd Ste 103, Philadelphia, PA 19144-1402 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| 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 |
|---|---|---|---|---|
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1174122493 | Juliana Debnam | Physician Assistant | 235 S 15th St Apt 904, Philadelphia, PA 19102-5031 | 2020-10-19 |
| 1457950867 | Kyllington Spotts | Physician Assistant | 1151 N 3rd St Unit 301, Philadelphia, PA 19123-1578 | 2020-10-19 |
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1457977944 | Jiyean Yoo | Physician Assistant | 2929 Walnut St Apt 4424, Philadelphia, PA 19104-5096 | 2020-06-19 |
| 1356987747 | Jennifer Rose Cueni | Physician Assistant | 2120 Brandywine St, Philadelphia, PA 19130-3107 | 2019-11-21 |
| 1730740408 | Olivia Anne Leventry | Physician Assistant | 109 Fairmount Ave, Philadelphia, PA 19123-3004 | 2019-06-24 |
| 1588136055 | Jefferson University Physcians | Physician Assistant | 1020 Sansom St Fl 10, Philadelphia, PA 19107-5002 | 2018-12-21 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922589365 | Rachel Diane Simonsen | Physician Assistant | 1741 Frankford Ave Ste 100a, Philadelphia, PA 19125-2445 | 2018-08-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19144 |
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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.