KRISTA REIS (NPI# 1770534117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770534117 |
| Entity Type | Individual |
| Full Name | KRISTA REIS |
| Credential | P.A.C. |
| Practice Address |
92 Montvale Ave Ste 3000 Stoneham MA 02180-3647 |
| Practice Telephone | 7814386350 |
| Practice Fax Number | 7812790430 |
| Mailing Telephone | 7814386350 |
| Mailing Fax Number | 7812790430 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
1710 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1710 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
92 MONTVALE AVE STE 3000 |
| City | STONEHAM |
| State | MA |
| Zip Code | 02180-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921309 | Denis P Byrne | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2005-09-06 |
| 1619419199 | Caitlin Leary | Physical Therapist | 92 Montvale Ave, Stoneham, MA 02180 | 2016-11-15 |
| 1174072557 | Agility Wpho-thp Inc | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2016-09-27 |
| 1316494230 | Lyle Edward Morgan | Physical Therapy Assistant | 92 Montvale Ave, 1100, Stoneham, MA 02180-3647 | 2016-09-08 |
| 1588051874 | Commonwealth Pediatrics, LLC | Clinic/Center | 92 Montvale Ave, Stoneham, MA 02180-3647 | 2015-04-24 |
| 1568865194 | Elizabeth Mcnichol | Dermatology | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3647 | 2014-09-26 |
| 1710315494 | Michael Bader Md PC | Internal Medicine | 92 Montvale Ave, Suite 3700, Stoneham, MA 02180-3647 | 2013-10-16 |
| 1720320377 | Dr. Mickey's Orthodontics, L.L.C. | Dentist | 92 Montvale Ave, Suite 4300, Stoneham, MA 02180-3647 | 2013-03-21 |
| 1114269099 | Jean Wyatt Gee | Nurse Practitioner | 92 Montvale Ave, 4605, Stoneham, MA 02180-3647 | 2013-03-19 |
| 1093080830 | Kimberly B Tighe | Physician Assistant | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2012-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092839 | Ann M Campbell | Social Worker | 490 William St, Stoneham, MA 02180 | 2018-08-12 |
| 1669997243 | Melissa Meskell, Lmhc | Clinic/Center | 38 Montvale Avenue Suite 327, Stoneham, MA 02180 | 2017-08-04 |
| 1033593306 | Melissa Zeitlin | Counselor | 178 North St, Stoneham, MA 02180 | 2015-07-16 |
| 1053708370 | Michael Stangler | Dentist | 2 Main St Ste 225, Stoneham, MA 02180 | 2015-04-24 |
| 1699086397 | Kimberly Y Chin | Acupuncturist | 105 Marble Street, Apt 7, Stoneham, MA 02180 | 2010-06-28 |
| 1538305446 | John Nyaga Njine | Registered Nurse | 5 Glen Rd, Apt 110, Stoneham, MA 02180 | 2008-12-23 |
| 1427189000 | Stoneham Public Schools | Local Education Agency (LEA) | 149 Franklin St., Stoneham, MA 02180 | 2007-03-08 |
| 1487715181 | Bernard J Augot, Jr. | Acupuncturist | Acupuncture Health Care Ctr., 370 Main Street, Stoneham, MA 02180 | 2006-12-13 |
| 1730257684 | Advantage Sports Medicine & Physical Therapy,inc. | Physical Therapist | 245 North Street, Stoneham, MA 02180 | 2006-11-30 |
| 1851465538 | Town of Stoneham | Public Health or Welfare | 35 Central Street, Stoneham, MA 02180 | 2006-11-17 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154638260 | Mary Ellen Kistler | Physician Assistant | 1 Montvale Ave, Ste 502, Stoneham, MA 02180-3559 | 2010-09-10 |
| 1922140284 | Conrad P Loehlein | Physician Assistant | 61 Main St, Stoneham, MA 02180-3364 | 2007-02-13 |
| 1053357418 | Mary Ellen Delger | Physician Assistant | 3 Woodland Rd, Suite 216, Stoneham, MA 02180-1702 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
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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.