MRS. KRISTIN VIDWANS (NPI# 1770671919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770671919 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN VIDWANS |
| Credential | P.A. |
| Practice Address |
6715 Little River Tpke 201 Annandale VA 22003-3546 |
| Mailing Address |
2119 Hutchison Grove Ct Falls Church VA 22043-2556 |
| Practice Telephone | 7039143640 |
| Practice Fax Number | 7039142536 |
| Mailing Telephone | 7038634270 |
| Mailing Fax Number | 7039142536 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002272 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICENSE | 0110002272 | 01 |
| Street Address |
6715 LITTLE RIVER TPKE 201 |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407861115 | Ly-lan Schofield Bergeron | Physician Assistant | 6715 Little River Tpke, 201, Annandale, VA 22003-3546 | 2006-07-30 |
| 1922445766 | Muhammad Ali, PC | Internal Medicine | 6715 Little River Tpke, #304, Annandale, VA 22003-3546 | 2013-06-03 |
| 1679800619 | Virginia Internal Medicine, PC and Urgent Care Services, Inc. | Clinic/Center | 6715 Little River Tpke, Suite 205, Annandale, VA 22003-3546 | 2009-11-12 |
| 1104159425 | Natalie Marie Bernys | Physician Assistant | 6715 Little River Tpke, Suite 201, Annandale, VA 22003-3546 | 2009-09-18 |
| 1962646596 | Nana Osei Amoah | Internal Medicine | 6715 Little River Tpke, Suite 205, Annandale, VA 22003-3546 | 2009-04-27 |
| 1992940159 | Joseph A Bellanti | Specialist | 6715 Little River Tpke, Annandale, VA 22003-3546 | 2008-12-02 |
| 1992845762 | I Care Inc | Allergy & Immunology | 6715 Little River Tpke, Annandale, VA 22003-3546 | 2007-02-08 |
| 1356357578 | Steven J Perez Md PC | Internal Medicine | 6715 Little River Tpke, 201, Annandale, VA 22003-3546 | 2006-07-31 |
| 1164428231 | Steven John Perez | Internal Medicine | 6715 Little River Tpke, Ste 201, Annandale, VA 22003-3546 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356431803 | Dawn Ramaley | Physician Assistant | 440 Elm Street, Annandale, MN 55302 | 2006-10-13 |
| 1801422498 | Dahlia Lerner | Physician Assistant | 7432 Little River Tpke, Annandale, VA 22003-3013 | 2020-03-16 |
| 1952869364 | Madeline Caffrey | Physician Assistant | 7432 Little River Tpke, Annandale, VA 22003-3013 | 2019-03-05 |
| 1427500719 | Julie Phillips | Physician Assistant | 7432 Little River Tpke, Annandale, VA 22003-3013 | 2016-11-02 |
| 1508986100 | Monica Buzzetta | Physician Assistant | 3301 Woodburn Rd, Suite 107, Annandale, VA 22003-1229 | 2007-03-29 |
| 1609984400 | Jessica A Martinez | Physician Assistant | 7432 Little River Tpke, Annandale, VA 22003-3013 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
| 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.