KRISTEN LEIGH HERISTCHI


Address: 135 East First St., Lakeland, FL 33805-4557
Phone: 8636862728

KRISTEN LEIGH HERISTCHI (NPI# 1821072190) 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) 1821072190
Entity Type Individual
Full Name KRISTEN LEIGH HERISTCHI
Credential MPH PAC
Practice Address 135 East First St.
Lakeland
FL 33805-4557
Mailing Address 2600 S Douglas Rd
Ste 308
Coral Gables
FL 33134-6134
Practice Telephone 8636862728
Practice Fax Number 8636866737
Mailing Telephone 8636862728
Mailing Fax Number 8636866737
Enumeration Date 2005-12-01
Last Update Date 2018-06-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA910207 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE E8856Y 01

Office Location

Street Address 135 EAST FIRST ST.
City LAKELAND
State FL
Zip Code 33805-4557

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477188704 Ernie Tairon Lugo Nursing Home Administrator 5210 State Road N 33, Lot 8, Lakeland, FL 33805 2020-03-06
1912546631 Francis Esperanzate Physical Therapist 5070 Menlo Parke Way, Lakeland, FL 33805 2019-12-27
1689232514 Anointed Touch Home Health 617 S Robson Street, Lakeland, FL 33805 2019-06-05
1083160642 Cherlande Pierre Chiropractor 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 2016-09-01
1992251706 Damaris Salmeron Physical Therapy Assistant 3127 Us Hwy 98 N, Lakeland, FL 33805 2016-08-31
1831589076 Sarah Mcneill Pharmacist 3124 Lakeland Hills Blvd, Lakeland, FL 33805 2015-01-26
1750706479 Alison M Busby Counselor Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 2014-03-04
1174872907 William Vargas, M.d. P. A. Anesthesiology 202 Parkview Place, Lakeland, FL 33805 2012-09-07
1184998056 Eduardo Francisco Lopez Garcia Internal Medicine 135 E First Street, Lakeland, FL 33805 2012-02-24
1255625513 Navdeep Singh Jassal Physical Medicine & Rehabilitation 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 2011-06-04
Find all providers in zip 33805

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710549787 Nadia Hasan Physician Assistant 4316 Us Highway 98 N, Lakeland, FL 33809-3848 2019-07-01
1235528753 Christia Mccann Physician Assistant 4120 Us Hwy. 98 N., One Lakeland Square, Lakeland, FL 33809 2015-01-21
1336493428 Mallory Moody Putnam Physician Assistant 2615 Fairmount Ave, Lakeland, FL 33803-3159 2012-10-29
1760545859 Harry E Hindi Physician Assistant 3522 S Florida Ave, Lakeland, FL 33803-4858 2006-12-19
1649354812 Jamie Lee Durchin Physician Assistant 1409 Meadowbrook Ave, Lakeland, FL 33803-2528 2006-10-24
1578544045 Lisa Korin Physician Assistant 1755 N. Florida Avenue, Lakeland, FL 33805 2005-11-10
1669453221 Kim G Cole Physician Assistant 202 Lake Miriam Dr Ste S1, Lakeland, FL 33813-2188 2005-11-10
1740804673 Brian Win Physician Assistant 130 Pablo St, Lakeland, FL 33803-3818 2020-06-06
1972045870 Hannah Vaughn Physician Assistant 3670 Innovation Dr, Lakeland, FL 33812-4105 2016-11-08
1225582778 Matthew Holthaus Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2016-08-12
Find all providers in LAKELAND

Competitor

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City LAKELAND
Zip Code 33805

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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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