KRISTIN L KREIDER


Address: 3400 Civic Center Blvd, 2nd Floor, Philadelphia, PA 19104-5127
Phone: 2156155858

KRISTIN L KREIDER (NPI# 1780076497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780076497
Entity Type Individual
Full Name KRISTIN L KREIDER
Other Name KRISTIN L WALLACE
Credential PA-C
Practice Address 3400 Civic Center Blvd
2nd Floor
Philadelphia
PA 19104-5127
Practice Telephone 2156155858
Enumeration Date 2015-03-04
Last Update Date 2020-02-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant MA057472 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KRISTIN KREIDER

NPI Name Taxonomy Address Enumeration
1629211602 Kristin Diana Kreider Obstetrics & Gynecology 880 Kempsville Rd Ste 2200, Norfolk, VA 23502-3990 2009-04-07
1356840979 Kristin M. Kreider Registered Nurse 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 2018-02-09

Office Location

Street Address 3400 CIVIC CENTER BLVD
2ND FLOOR
City PHILADELPHIA
State PA
Zip Code 19104-5127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124027727 Joel D Glickman Internal Medicine 3400 Civic Center Blvd, 1st Floor, Suite 300 S, Philadelphia, PA 19104-4306 2005-07-18
1841891058 Abigail Brooke Horowitz Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-11-04
1073129532 Samuel Kovell Physician Assistant 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-09-21
1306451695 Farzad Nourollah-zadeh Oral Medicinist 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-09-13
1609492917 Mosetta Harris Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-06-23
1063032530 Monique Maria Tee Internal Medicine 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-24
1609495290 Katharine Freeman Michel Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, 3rd Floor West Pavilion, Philadelphia, PA 19104 2020-04-13
1609495498 Taha Samir Ghouleh Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-11
1952930554 Danielle Marie Lamarra Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-06
1982232658 Jasmine Hwang Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-03-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780283986 Margaret Ann Malloy Physician Assistant 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 2020-10-20
1174122493 Juliana Debnam Physician Assistant 235 S 15th St Apt 904, Philadelphia, PA 19102-5031 2020-10-19
1457950867 Kyllington Spotts Physician Assistant 1151 N 3rd St Unit 301, Philadelphia, PA 19123-1578 2020-10-19
1598375925 Meredith Jeanne Behr Physician Assistant 5401 N Broad St, Philadelphia, PA 19141 2020-07-31
1457977944 Jiyean Yoo Physician Assistant 2929 Walnut St Apt 4424, Philadelphia, PA 19104-5096 2020-06-19
1356987747 Jennifer Rose Cueni Physician Assistant 2120 Brandywine St, Philadelphia, PA 19130-3107 2019-11-21
1730740408 Olivia Anne Leventry Physician Assistant 109 Fairmount Ave, Philadelphia, PA 19123-3004 2019-06-24
1588136055 Jefferson University Physcians Physician Assistant 1020 Sansom St Fl 10, Philadelphia, PA 19107-5002 2018-12-21
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922589365 Rachel Diane Simonsen Physician Assistant 1741 Frankford Ave Ste 100a, Philadelphia, PA 19125-2445 2018-08-23
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Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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