MRS. KRISTY L EDELMAN (NPI# 1346337672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346337672 |
| Entity Type | Individual |
| Full Name | MRS. KRISTY L EDELMAN |
| Other Name | MS. KRISTY LYNN HEINRICH |
| Credential | PA |
| Practice Address |
1 Quality Dr Vacaville CA 95688-9494 |
| Practice Telephone | 7074323342 |
| Mailing Telephone | 7076244000 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA17620 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA172600 | 05 |
| Street Address |
1 QUALITY DR |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688-9494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332227 | Robert Charles Jacoby | Surgery | 1 Quality Dr, Vacaville, CA 95688-9494 | 2005-08-02 |
| 1538770193 | Darren Lee Watkins | Respiratory Therapist, Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2020-08-16 |
| 1194334151 | Bonnie Lynn Brown | Registered Nurse | 1 Quality Dr, Vacaville, CA 95688-9494 | 2020-07-27 |
| 1083222087 | Valentine D Duff | Respiratory Therapist, Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2020-07-16 |
| 1164056669 | Jamison Franklin Jordan | Physical Therapist | 1 Quality Dr, Vacaville, CA 95688-9494 | 2020-02-24 |
| 1376187039 | Shannon Kathleen Hennessey Bruce | Student in an Organized Health Care Education/Training Program | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-11-05 |
| 1790333870 | Krista Danielle Brown | Physical Therapist | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-08-31 |
| 1295383719 | Meghann Jean Keehner | Audiologist-Hearing Aid Fitter | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-08-28 |
| 1598310765 | Mai Feng Vang | Dietitian, Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-08-05 |
| 1447717210 | Trista Michele Vanasse | Nurse Anesthetist, Certified Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| 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 |
|---|---|---|---|---|
| 1033404512 | Lynden Maureen Pelbath | Physician Assistant | 600 Nut Tree Road, Suite 320, Vacaville, CA 95687 | 2011-06-13 |
| 1639301088 | Victoria J Moore | Physician Assistant | 1671 E Monte Vista Ave, Ste 213, Vacaville, CA 95688-3124 | 2009-08-19 |
| 1104990274 | Valerie Roggenbuck | Physician Assistant | 1679 E Monte Vista Ave Ste 104, Vacaville, CA 95688-3123 | 2006-11-20 |
| 1871964353 | Stephanie Sandeep Purewal | Physician Assistant | 770 Mason St, Vacaville, CA 95688 | 2015-10-09 |
| 1669727426 | Jennifer Bardales | Physician Assistant | 292 Alamo Dr, 2, Vacaville, CA 95688-4243 | 2012-07-18 |
| 1386825917 | Hannah Krimins Mertens | Physician Assistant | 1010 Nut Tree Rd, Suite 200, Vacaville, CA 95687-4172 | 2007-11-26 |
| 1841388766 | David M Lang | Physician Assistant | 770 Mason St, Vacaville, CA 95688-4646 | 2006-10-10 |
| 1598852873 | Julianna H Cline | Physician Assistant | 770 Mason St, Vacaville, CA 95688-4646 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
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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.