KRISTAN JAN WHEELER (NPI# 1831127646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831127646 |
| Entity Type | Individual |
| Full Name | KRISTAN JAN WHEELER |
| Credential | PA-C |
| Practice Address |
875 Blake Wilbur Dr Mail Code 5826 Palo Alto CA 94304-2205 |
| Practice Telephone | 6507257722 |
| Practice Fax Number | 6507364176 |
| Mailing Telephone | 6507257722 |
| Mailing Fax Number | 6507364176 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2012-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10005041 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA21918 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
875 BLAKE WILBUR DR MAIL CODE 5826 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699028 | Tiffany Conelia Brown | Registered Nurse | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2020-08-11 |
| 1417578550 | Anna Wilcoxon | Registered Nurse | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2020-04-29 |
| 1831732577 | Stephen Siu | Physician Assistant | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-10-25 |
| 1417590092 | Brian Lasonde | Internal Medicine | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-10-25 |
| 1013562065 | Amelia Jones | Physician Assistant | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-08-07 |
| 1164077665 | Tricia S Marcos | Nurse Practitioner | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-08-02 |
| 1942762430 | Hyunsoo Joshua No | Student in an Organized Health Care Education/Training Program | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-04-03 |
| 1043783830 | Heather Bernice Boulting | Nurse Practitioner | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-01-04 |
| 1184119653 | Noah Kastelowitz-lieberman | Student in an Organized Health Care Education/Training Program | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2018-06-27 |
| 1669960555 | Daniel Herrick | Student in an Organized Health Care Education/Training Program | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2018-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366497331 | Gunars Bite | Physician Assistant | 3821 Ross Rd, Palo Alto, CA 94303-4523 | 2006-05-24 |
| 1689275059 | Colin Elie | Physician Assistant | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-11-03 |
| 1164939930 | Edward Andy Nguyen | Physician Assistant | 750 Welch Rd Ste 319, Palo Alto, CA 94304-1510 | 2018-01-03 |
| 1285147454 | Eric Hong | Physician Assistant | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2017-11-09 |
| 1942659610 | Geovanna Suarez | Physician Assistant | 780 Welch Rd, Palo Alto, CA 94304-1516 | 2016-06-03 |
| 1306282496 | Sunaina Ganesh | Physician Assistant | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2013-05-15 |
| 1043560972 | Julia Constance Bertozzi | Physician Assistant | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2012-09-18 |
| 1760765846 | Chad Pope | Physician Assistant | 750 Welch Rd, Suite 319, Palo Alto, CA 94304-1507 | 2011-09-24 |
| 1760783286 | Katie Felix | Physician Assistant | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2010-11-15 |
| 1659681278 | Vadim I Bederov | Physician Assistant | 795 El Camino Real, Palo Alto, CA 94301 | 2010-10-16 |
| Find all providers in PALO ALTO | ||||
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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.