CHRISTEN DARDENNE (NPI# 1972702710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972702710 |
| Entity Type | Individual |
| Full Name | CHRISTEN DARDENNE |
| Credential | PA-C |
| Practice Address |
103 Bodin Cir Fairfield CA 94535-1801 |
| Practice Telephone | 7074235252 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2011-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA053011 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
103 BODIN CIR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94535-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003899279 | Myo Swe Chang | Internal Medicine | 103 Bodin Cir, Bld 778, Fairfield, CA 94535-1801 | 2005-11-22 |
| 1972031987 | Salvatore Petersen | Registered Nurse | 103 Bodin Cir, Fairfield, CA 94535-1801 | 2017-06-03 |
| 1417342544 | Sarah Schobert | Registered Nurse | 103 Bodin Cir, Fairfield, CA 94535-1801 | 2015-04-06 |
| 1396997169 | Carlton E. Spradley | Counselor | 103 Bodin Cir, Fairfield, CA 94535-1801 | 2008-10-10 |
| 1427184738 | Leslee Rae Kassing | Psychologist | 103 Bodin Cir, Travis Afb Va, Fairfield, CA 94535-1801 | 2007-02-23 |
| 1699784165 | Savita Saraswathi Nallapa | Internal Medicine | 103 Bodin Cir, Va Outpatient Clinic, Fairfield, CA 94535-1801 | 2006-08-05 |
| 1679513089 | Martinez Vamc | Clinic/Center | 103 Bodin Cir, Travis Afb, Fairfield, CA 94535-1801 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| 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 |
|---|---|---|---|---|
| 1780293548 | Christina Elizabeth Gentile | Physician Assistant | 313 Suburban Ave, Fairfield, CT 06825-1851 | 2020-07-28 |
| 1962963397 | Olivia Leigh Brandt | Physician Assistant | 4 Skyline Trl, Fairfield, PA 17320-8560 | 2019-03-28 |
| 1205299559 | Bita Joobbani | Physician Assistant | 1860 Pennsylvania Ave Ste 230, Fairfield, CA 94533-3550 | 2016-04-04 |
| 1699178210 | Bradley Joseph Barnes | Physician Assistant | 3050 Mack Rd Ste 200, Fairfield, OH 45014-5375 | 2014-09-28 |
| 1841500675 | Nicolle E White | Physician Assistant | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 | 2010-10-14 |
| 1134303894 | Sarah Brooke Sullivan | Physician Assistant | 113 Old Stratfield Rd, Fairfield, CT 06825-4432 | 2007-12-18 |
| 1679752083 | Sandy Pais Narciso-owen | Physician Assistant | Sacred Heart University, Physician Assistant Studies, 5151 Park Avenue, Fairfield, CT 06825 | 2007-11-01 |
| 1316142599 | Michelle Anne Cifelli | Physician Assistant | 19 Addison Dr, Fairfield, NJ 07004-1534 | 2007-06-18 |
| 1285655977 | Laura Lynn Mora | Physician Assistant | 5129 Dartrmoor Circle, Fairfield, CA 94534 | 2006-07-21 |
| 1699775551 | Julie A Lanter | Physician Assistant | 2818 Mack Rd, Fairfield, OH 45014-5130 | 2005-07-21 |
| Find all providers in FAIRFIELD | ||||
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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.