KRISTIN A CHRISTENSEN (NPI# 1558351569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558351569 |
| Entity Type | Individual |
| Full Name | KRISTIN A CHRISTENSEN |
| Credential | PA |
| Practice Address |
381 S Middleton Rd Ste B Suite 115 Middleton ID 83644-5369 |
| Practice Telephone | 2085856311 |
| Practice Fax Number | 2085856221 |
| Mailing Telephone | 2085856311 |
| Mailing Fax Number | 2085856221 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2015-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA239 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805233800 | 05 | |
| ID | RAILROAD MEDICARE | 970019572 | 01 |
| ID | BLUE SHIELD | 000010017488 | 01 |
| ID | BLUE CROSS | PA860 | 01 |
| ID | BLUE SHIELD | 000010017487 | 01 |
| ID | BLUE CROSS | PA811 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154757003 | Kristin Marie Christensen | Nurse Practitioner | 555 S 51st St, West Des Moines, IA 50265-6967 | 2013-09-24 |
| 1194006379 | Kristin Longwell Christensen | Physical Therapist | 987 University Ave, Suite 12, Los Gatos, CA 95032-7640 | 2011-09-01 |
| 1407061815 | Kristin Geisser Christensen | Internal Medicine | 3701 Market St, 6th Floor, Suite 640, Philadelphia, PA 19104-5502 | 2007-05-11 |
| 1134214554 | Kristin A Christensen | Psychologist | 45-955 Kamehameha Hwy, 307, Kaneohe, HI 96744-3222 | 2006-10-03 |
| Street Address |
381 S MIDDLETON RD STE B SUITE 115 |
| City | MIDDLETON |
| State | ID |
| Zip Code | 83644-5369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841731155 | Adam L Reno | Family Medicine | 381 S Middleton Rd Ste B, Middleton, ID 83644-5369 | 2017-03-20 |
| 1457792277 | Richard M Mcconkie Jr. | Nurse Practitioner | 381 S Middleton Rd Ste B, Middleton, ID 83644-5369 | 2013-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558008 | Forge International School | Local Education Agency (LEA) | 208 S Hartley Ln, Middleton, ID 83644 | 2019-09-20 |
| 1225329287 | Denise Ann Graveline | Pharmacist | 16700 N Marketplace, Nampa, ID 83644 | 2011-04-26 |
| 1497087951 | Kriste Ann Barnes-perrin | Speech-Language Pathologist | 23 East 1st Street North, Middleton, ID 83644 | 2010-02-09 |
| 1447581665 | Tammy M Marr | Specialist/Technologist | 341 N. 4th Ave W., Middleton, ID 83644 | 2010-01-28 |
| 1902925126 | Aries J Ganir | Dentist | 1064 W. Main Street, Middleton, ID 83644 | 2007-03-28 |
| 1669556908 | Erin Keller | Nurse Practitioner | 201 S. 1st Ave. E, Middleton, ID 83644 | 2006-10-24 |
| 1609818483 | West Valley Medical Center Inc | General Acute Care Hospital | 381 B South Middleton Road, Middleton, ID 83644 | 2006-06-13 |
| 1528250099 | Lee Physical Therapy, PC | Specialist | 18 E Main St, Suite 1, Middleton, ID 83644 | 2007-08-17 |
| 1124155577 | Ridleys Family Markets Inc | Pharmacy | 430 E Main St, Middleton, ID 83644-3036 | 2007-02-27 |
| 1508232703 | Lin-foo Sam Lee | Pharmacist | 430 E Main St, Middleton, ID 83644-3036 | 2015-08-11 |
| Find all providers in zip 83644 | ||||
| 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 |
|---|---|---|---|---|
| 1538544358 | Ashley Mcculley | Physician Assistant | 6273 University Ave Apt 3, Middleton, WI 53562-3477 | 2015-07-22 |
| 1609013408 | Amy Elizabeth Parins | Physician Assistant | 1410 N Westfield Rd, Middleton, WI 53562-3652 | 2009-01-15 |
| 1083679757 | Kierstyn L. Block | Physician Assistant | 2275 Deming Way Ste 240, Middleton, WI 53562-5527 | 2006-04-18 |
| 1821605502 | Healthplus LLC | Physician Assistant | 232 S Main St, Middleton, MA 01949-3305 | 2020-09-28 |
| 1760018865 | Red Devil First Assist, LLC | Physician Assistant | 8383 Greenway Blvd Ste 600, Middleton, WI 53562-4659 | 2020-03-20 |
| 1104292333 | Nora M Hill | Physician Assistant | 7974 Uw Health Ct, Middleton, WI 53562-5531 | 2015-08-11 |
| 1447481056 | Amber B Reynolds | Physician Assistant | 2275 Deming Way, Middleton, WI 53562-5527 | 2009-07-30 |
| 1033291869 | Kristyn J Hare | Physician Assistant | 2275 Deming Way, Middleton, WI 53562-5527 | 2006-10-20 |
| 1013944867 | Sara E Dawkins | Physician Assistant | 7974 Uw Health Ct, Middleton, WI 53562-5531 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695792 | Chelsea Dylan Tennent | Physician Assistant | 1666 E Gentlewind St, Boise, ID 83706-5914 | 2020-10-05 |
| 1922615848 | Allison Cluff | Physician Assistant | 1320 Bennett Ave, Burley, ID 83318-2665 | 2020-09-24 |
| 1245846187 | Adam Baker | Physician Assistant | 271 Jefferson St, Blackfoot, ID 83221-1818 | 2020-09-16 |
| 1265045199 | Julia Claire Brodie | Physician Assistant | 2352 N Apple Ln, Pocatello, ID 83204-7231 | 2020-08-29 |
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1174148696 | Colton Jason Randall | Physician Assistant | 3885 Orchard Cir, Ammon, ID 83406-4656 | 2020-06-10 |
| 1871114553 | Samantha Tess Goodrich | Physician Assistant | 721 E Lenz St, Boise, ID 83712-7846 | 2020-05-04 |
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1013562305 | Brianna Suzanne Berg | Physician Assistant | 12535 N Fawn Ct, Hayden, ID 83835-8827 | 2019-08-05 |
| 1003376559 | Kodie Thomas | Physician Assistant | 2086 Picket Ln, Emmett, ID 83617-9104 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
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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.