KELLIE JASMINE BLANK (NPI# 1659989630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659989630 |
| Entity Type | Individual |
| Full Name | KELLIE JASMINE BLANK |
| Credential | PA-C |
| Practice Address |
145 W Areba Ave Hershey PA 17033-1504 |
| Practice Telephone | 7346359116 |
| Mailing Telephone | 7346359116 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| 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 |
145 W AREBA AVE |
| City | HERSHEY |
| State | PA |
| Zip Code | 17033-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891264578 | Sherpa Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 20 Briarcrest Square, Suite 207, Hershey, PA 17033 | 2018-11-25 |
| 1366933186 | Benjamin Abney | General Practice | Hershey Medical Center, 500 University Drive, Hershey, PA 17033 | 2018-05-29 |
| 1174014062 | Sean Nutting | Student in an Organized Health Care Education/Training Program | 500 University Dr Dept Of, Hershey, PA 17033 | 2018-05-25 |
| 1447751144 | Elizabeth Ashley Lohman | Specialist/Technologist | 665 Brook Drive, Hershey, PA 17033 | 2018-02-27 |
| 1376056382 | Yilmarie Mercado Vargas | Student in an Organized Health Care Education/Training Program | Penn State Health Milton Hershey Medical Center, 500 University Dr, Hershey, PA 17033 | 2017-11-13 |
| 1730603440 | Aleksandr Sviatchenko | Student in an Organized Health Care Education/Training Program | Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa, PA 17033 | 2017-08-03 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1649706649 | Natalia Katarzyna Pierwola-gawin | Physical Therapist | 500 University Dr. Mc A410, Hershey, PA 17033 | 2017-05-11 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1437505096 | Lynnlee Christine Depicolzuane | Pediatrics | 600 University Drive, Hershey, PA 17033 | 2016-05-12 |
| Find all providers in zip 17033 | ||||
| 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 |
|---|---|---|---|---|
| 1174147698 | Kyra Braun | Physician Assistant | 728 Ferris Way, Hershey, PA 17033-3600 | 2020-06-01 |
| 1649816885 | Allison Krista Hedin | Physician Assistant | 30 Hope Drive Building B, Suite 1200, Hershey, PA 17033-2036 | 2019-11-22 |
| 1386908465 | Michelle A Jukic | Physician Assistant | 500 Unviversity Drive, Hershey, PA 17033-0858 | 2012-07-03 |
| 1184674780 | Melanie R Olson | Physician Assistant | 30 Hope Dr Ste 1200, Hershey, PA 17033-2036 | 2006-05-12 |
| 1164471611 | Anne S Weaver | Physician Assistant | 35 Hope Dr Ste 104, Hershey, PA 17033-2086 | 2006-05-10 |
| 1679568810 | Jaime Danielle Halin | Physician Assistant | 30 Hope Dr Ste 2400, Hershey, PA 17033-2036 | 2005-09-14 |
| 1619970936 | Derek Flynn | Physician Assistant | 30 Hope Dr, Hershey, PA 17033-2036 | 2005-05-31 |
| 1417558917 | Emily J Hanwell | Physician Assistant | 500 University Dr, Hershey, PA 17033-2360 | 2020-11-03 |
| 1811502578 | Kelly Crecelius | Physician Assistant | 500 University Dr, Hershey, PA 17033-2360 | 2020-09-10 |
| 1609487628 | Molly C Mariano | Physician Assistant | 30 Hope Dr Ste 1200, Hershey, PA 17033-2036 | 2020-08-13 |
| Find all providers in HERSHEY | ||||
Please comment or provide details below to improve the information on KELLIE JASMINE BLANK.
| 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.