MS. KRISTEN L. LONG (NPI# 1568759298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568759298 |
| Entity Type | Individual |
| Full Name | MS. KRISTEN L. LONG |
| Other Name | KRISTEN GROSS |
| Credential | PA-C |
| Practice Address |
1 Medical Center Blvd Chester PA 19013-3902 |
| Mailing Address |
10401 Spotstsylvania Ave Ste 200 Fredericksburg VA 22408-2691 |
| Practice Telephone | 6105214833 |
| Mailing Telephone | 5403611000 |
| Mailing Fax Number | 5403617010 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2019-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA054968 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA LICENSE | MA054968 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639643992 | Kristen Anne Long | Massage Therapist | 680 Falmouth Rd Ste H, Mashpee, MA 02649-3338 | 2019-01-18 |
| 1275808883 | Kristen L Long | Counselor | 605 Miami St, Montrose, CO 81401-4108 | 2012-03-14 |
| 1043831308 | Kristen J Long | Developmental Therapist | 1900 Aldersgate Rd, Little Rock, AR 72205-6620 | 2020-04-28 |
| 1205465580 | Kristen Raie Long | Physician Assistant | 600 Mary Street, Evansville, IN 47747-8017 | 2020-04-07 |
| 1518421304 | Kristen A Long | Nurse Practitioner | 9191 Grant St, Thornton, CO 80229-4361 | 2019-01-25 |
| 1336662634 | Kristen Danielle Long | Pharmacist | 2005 Knight Lane, Bldg H, Bureau of Medicine & Surgery, Attn: Medical Staff Serv, Jacksonville, FL 32212-0140 | 2017-07-19 |
| 1972921153 | Kristen Long | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2014-04-03 |
| 1932521259 | Kristen Long | Dentist | 18119 Cashell Rd, Olney, MD 20832-2003 | 2014-01-07 |
| 1760668230 | Kristen Long | Social Worker | 283 S Butler Road, Mt Gretna, PA 17064-0550 | 2008-01-15 |
| 1366579435 | Kristen Samara Long | Speech-Language Pathologist | 621 W 21st St, Andover, KS 67002-8498 | 2007-02-27 |
| Street Address |
1 MEDICAL CENTER BLVD |
| City | CHESTER |
| State | PA |
| Zip Code | 19013-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626064 | Rachelle Lynn Dambman | Nurse Practitioner | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-10-13 |
| 1588274930 | Hui Chong Lau | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-07-31 |
| 1679194856 | Pooja Manjunatha | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-29 |
| 1609497981 | Jessica Hyman | Physician Assistant | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-28 |
| 1740800242 | Jared Blum | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-24 |
| 1487274312 | Patrick Sean Sullivan | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1629698550 | Brett Houston Palmer | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1922627231 | Oluwadara Nnoli | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-16 |
| 1730708181 | Sachi Singhal | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-15 |
| 1770102014 | Mary Howland Williamson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| 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 |
|---|---|---|---|---|
| 1689147381 | Alexandra Kubitz | Physician Assistant | 1 Medical Center Blvd Ste 232533, Chester, PA 19013-3902 | 2019-01-04 |
| 1609376086 | Sheila Hautbois | Physician Assistant | 228 Johnson Creek Dr., Chester, VA 23836 | 2018-02-13 |
| 1841709730 | Megan Shea Dyson | Physician Assistant | 1630 Main St Ste 108, Chester, MD 21619-2792 | 2017-09-25 |
| 1023447042 | Harry Joseph Guarino | Physician Assistant | 1 Medical Center Blvd Ste 326, Chester, PA 19013-3902 | 2013-11-12 |
| 1942367818 | Ginger L Spronk | Physician Assistant | 310 State Route 24, Suite B-1a, Chester, NJ 07930-2625 | 2007-01-02 |
| 1871663377 | Gilian Frances Thompson | Physician Assistant | 14506 Sulphur Springs Ter, Chester, VA 23836-2778 | 2006-11-09 |
| 1063468015 | Patrick T Armstrong | Physician Assistant | 418 West Monroe, Chester, MT 59522 | 2006-05-25 |
| 1194720417 | James Thomas Frizzelle Jr. | Physician Assistant | 13038 Rivers Bend Rd, Chester, VA 23836-2564 | 2005-06-14 |
| 1053928044 | Jenna Michelle Van Dyck | Physician Assistant | 150 Main St, Chester, CT 06412-1340 | 2020-09-24 |
| 1558857144 | Brittany Paige Reed | Physician Assistant | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2018-07-06 |
| Find all providers in CHESTER | ||||
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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.