KRISTEN ASHLEY BLOCK (NPI# 1578998522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578998522 |
| Entity Type | Individual |
| Full Name | KRISTEN ASHLEY BLOCK |
| Credential | PA-C |
| Practice Address |
633d Medical Group 77 Nealy Avenue Joint Base Langley-eustis VA 23665-2040 |
| Practice Telephone | 7572257630 |
| Mailing Telephone | 7572257630 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2014-02-28 |
| 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 |
| Street Address |
633D MEDICAL GROUP 77 NEALY AVENUE |
| City | JOINT BASE LANGLEY-EUSTIS |
| State | VA |
| Zip Code | 23665-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881688877 | James F Forrest | Optometrist | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2005-09-06 |
| 1497213573 | Diana Elise Strain | Social Worker | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2019-03-07 |
| 1457865131 | Mary Iskarous | Psychologist | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2017-11-17 |
| 1295112977 | Nicholas William Deangelis | Pediatrics | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2015-04-30 |
| 1366839961 | Brent Sager | Obstetrics & Gynecology | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2015-04-21 |
| 1326459652 | Keith Duron | Dental Hygienist | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2014-05-08 |
| 1336486992 | William F Wolfe | Nurse Anesthetist, Certified Registered | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2013-01-15 |
| 1659638575 | Adam Labree Bourgon | Surgery | 633d Medical Group, 77 Nealy Ave, Joint Base Langley-eustis, VA 23665-2040 | 2012-04-17 |
| 1003101551 | Richard Zanetti Jr. | Pediatrics | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2011-06-13 |
| 1629398565 | Jeffrey Roger Herchler | Physician Assistant | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2010-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| 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 |
|---|---|---|---|---|
| 1386012276 | Cindy Fernandez | Physician Assistant | 77 Nealy Ave, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2015-09-09 |
| 1629398565 | Jeffrey Roger Herchler | Physician Assistant | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2010-06-02 |
| 1992719694 | Metinee Sarasup Strickland | Physician Assistant | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981866 | Madison Emily Lloyd | Physician Assistant | 3416 Gayton Meadows Ter, Henrico, VA 23233-6647 | 2020-10-28 |
| 1962001529 | Careteam, LLC | Physician Assistant | 1330 Amherst St Ste E, Winchester, VA 22601-3054 | 2020-10-23 |
| 1730788514 | Alaina Nichole Wayland | Physician Assistant | 10180 Portsmouth Rd Apt 1, Manassas, VA 20109-8024 | 2020-10-22 |
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1639786320 | William Barr | Physician Assistant | 240 Gena Ct, Newport News, VA 23602-6300 | 2020-09-26 |
| 1336755297 | Taylor Jones | Physician Assistant | 583 Fowler St, Marion, VA 24354-2203 | 2020-09-16 |
| 1366058232 | Carah Grace Whichard | Physician Assistant | 18778 Grahams Dr, Abingdon, VA 24211-7096 | 2020-09-16 |
| 1962015750 | Hannah Wallen | Physician Assistant | 8101 Hinson Farm Rd Ste 501, Alexandria, VA 22306-3403 | 2020-08-31 |
| 1073126215 | Nickolas Patrick Forsberg | Physician Assistant | 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191-5300 | 2020-08-27 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE LANGLEY-EUSTIS |
| Zip Code | 23665 |
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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.