KRISTEN LISSENDEN (NPI# 1104226190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104226190 |
| Entity Type | Individual |
| Full Name | KRISTEN LISSENDEN |
| Other Name | KRISTEN KAMETZ |
| Credential | CRNP |
| Practice Address |
1210 S Cedar Crest Blvd Ste 2400 Allentown PA 18103-6229 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104023888 |
| Practice Fax Number | 6104023893 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2018-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP014081 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1210 S CEDAR CREST BLVD STE 2400 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037591 | Tibisay I Villalobos | Pediatrics | 1210 S Cedar Crest Blvd, Suite 2400, Allentown, PA 18103-6229 | 2005-07-19 |
| 1336794627 | Elise Lerario | Audiologist | 1210 S Cedar Crest Blvd, Allentown, PA 18103-6229 | 2019-08-05 |
| 1417467218 | Erin Gerhart | Nurse Practitioner | 1210 S Cedar Crest Blvd, Allentown, PA 18103-6229 | 2017-10-06 |
| 1023559895 | Amelia Kuhns | Nurse Practitioner | 1210 S Cedar Crest Blvd, Ste 1100, Allentown, PA 18103-6229 | 2017-03-14 |
| 1316498876 | Victoria Kuebler | Dietitian, Registered | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2016-10-20 |
| 1679962500 | Lehigh Valley Physician Group | Surgery | 1210 S Cedar Crest Blvd, Suite 3000, Allentown, PA 18103-6229 | 2015-01-15 |
| 1942611843 | Kimberly Rarick | Pediatrics | 1210 S Cedar Crest Blvd, 6th Floor Jaindl, Allentown, PA 18103-6229 | 2014-05-13 |
| 1841535036 | Lehigh Valley Physician Group | Pediatrics | 1210 S Cedar Crest Blvd, Suite 2400, Allentown, PA 18103-6229 | 2012-11-29 |
| 1902159874 | Nancy Marie Moore | Dietitian, Registered | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2012-10-17 |
| 1083966469 | Anne Burdine | Dietitian, Registered | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2012-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730409863 | Kailin T Rumfield | Nurse Practitioner | 401 N 17th St Ste 203, Allentown, PA 18104-5050 | 2010-06-11 |
| 1184618407 | Kristin Maura Mckeown Flora | Nurse Practitioner | 829 W Turner St, Central Elementary School Health Center, Allentown, PA 18102-4066 | 2005-08-31 |
| 1871159129 | Mary Fragassi | Nurse Practitioner | 1210 S Cedar Crest Blvd Ste 1100, Allentown, PA 18103-6241 | 2019-05-13 |
| 1336600352 | Katrina Ann Trexler | Nurse Practitioner | 1611 Pond Rd Ste 400, Allentown, PA 18104-2258 | 2019-03-31 |
| 1417467218 | Erin Gerhart | Nurse Practitioner | 1210 S Cedar Crest Blvd, Allentown, PA 18103-6229 | 2017-10-06 |
| 1366996704 | Krystal Trinkle | Nurse Practitioner | 1627 Chew St, Allentown, PA 18102-3648 | 2016-08-14 |
| 1942683909 | Katelyn Brown | Nurse Practitioner | 1627 Chew St, Allentown, PA 18102-3648 | 2015-07-08 |
| 1639455876 | Damara Ritchey | Nurse Practitioner | 1627 Chew St, Allentown, PA 18102-3648 | 2011-11-02 |
| 1558593517 | Kathleen Marie Harris | Nurse Practitioner | 250 Cetronia Rd, Suite 103, Allentown, PA 18104-9147 | 2009-08-10 |
| 1588809156 | Megan Kathleen Wukitsch | Nurse Practitioner | 1627 W Chew St, Allentown, PA 18102-3648 | 2008-12-10 |
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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.