KRYSTAL BRESLOW (NPI# 1588174882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588174882 |
| Entity Type | Individual |
| Full Name | KRYSTAL BRESLOW |
| Credential | PA |
| Practice Address |
1006 E Guadalupe Rd Tempe AZ 85283-3047 |
| Mailing Address |
2652 S Paloma Ave Yuma AZ 85365-8907 |
| Practice Telephone | 4808384296 |
| Practice Fax Number | 4808201275 |
| Mailing Telephone | 4802014126 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6793 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 316914 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2248 N Alma School Rd Ste 104, Chandler, AZ 852242488 | 4808384296 | 4808201275 |
| 6553 E Baywood Ave Ste 103, Mesa, AZ 852061753 | 4808384296 | 4808201275 |
| Street Address |
1006 E GUADALUPE RD |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699743997 | Suresh C Anand | Allergy & Immunology | 1006 E Guadalupe Rd, Tempe, AZ 85283-3047 | 2006-03-10 |
| 1144737172 | Katelyn Anne Virnelson | Physician Assistant | 1006 E Guadalupe Rd, Tempe, AZ 85283 | 2017-12-29 |
| 1710437611 | Marilyn Roy | Physician Assistant | 1006 E Guadalupe Rd, Tempe, AZ 85283 | 2016-10-04 |
| 1306210364 | Amelia R Adames-zamora | Nurse Practitioner | 1006 E Guadalupe Rd, Tempe, AZ 85283-3047 | 2015-11-13 |
| 1902957434 | Cheryl Lynn Marshall | Physician Assistant | 1006 E Guadalupe Rd, Tempe, AZ 85283 | 2007-01-12 |
| 1346314010 | Allergy Associates & Asthma, Ltd | Allergy & Immunology | 1006 E Guadalupe Rd, Tempe, AZ 85283-3047 | 2006-11-17 |
| 1720167950 | Tera Crisalida | Physician Assistant | 1006 E Guadalupe Rd, Tempe, AZ 85283-3047 | 2006-11-06 |
| 1497839666 | Veena L Krause | Nurse Practitioner | 1006 E Guadalupe Rd, Tempe, AZ 85283-3047 | 2006-10-25 |
| 1407824790 | Miriam K Anand | Allergy & Immunology | 1006 E Guadalupe Rd, Tempe, AZ 85283-3047 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| 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 |
|---|---|---|---|---|
| 1780283580 | Daryl Howden | Physician Assistant | 800 E Curry Rd Apt 3019, Tempe, AZ 85281-7057 | 2020-10-22 |
| 1609419241 | Melanie Marie Lyon | Physician Assistant | 1502 N Dorsey Ln, Tempe, AZ 85281-1657 | 2019-10-27 |
| 1093221988 | Qammer Alzubaidi | Physician Assistant | 3730 S Mill Ave Apt E207, Tempe, AZ 85282-4921 | 2017-12-14 |
| 1164973517 | Thomas Pearson | Physician Assistant | 1002 W Santa Cruz Dr, Tempe, AZ 85282-4629 | 2016-10-20 |
| 1609269778 | Stephanie Joy Ranum | Physician Assistant | 1634 S Priest Dr Ste 101, Tempe, AZ 85281-6499 | 2015-03-12 |
| 1760739916 | Kayla Marie Shelley | Physician Assistant | 2163 E Baseline Rd Ste 101, Tempe, AZ 85283-1541 | 2012-08-07 |
| 1982880068 | Kristina Ann Cieply | Physician Assistant | 1840 E Baseline Rd Ste C2, Tempe, AZ 85283-1528 | 2008-01-18 |
| 1720168883 | Heather N Starks | Physician Assistant | 960 W University Dr, Suite 111, Tempe, AZ 85281 | 2006-10-16 |
| 1912920968 | Karen Bjorn | Physician Assistant | 2034 E Southern, #4, Tempe, AZ 85282 | 2006-07-25 |
| 1124058466 | Linda S Macconnell | Physician Assistant | 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 | 2006-07-03 |
| Find all providers in TEMPE | ||||
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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.