KRISTEN NICOLE VASQUEZ (NPI# 1831324896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831324896 |
| Entity Type | Individual |
| Full Name | KRISTEN NICOLE VASQUEZ |
| Other Name | KRISTEN NICOLE ROSALES |
| Credential | PA |
| Practice Address |
519 Stephenson Ave Savannah GA 31405-5969 |
| Practice Telephone | 9123549447 |
| Practice Fax Number | 9124010741 |
| Mailing Telephone | 9123549447 |
| Mailing Fax Number | 9124010741 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005581 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RR MEDICARE | P00778518 | 01 |
| GA | 350511798D | 05 | |
| SC | 0859PA | 05 | |
| GA | 350511798C | 05 | |
| FL | LICENSE | PA9110541 | 01 |
| Street Address |
519 STEPHENSON AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-5969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717985 | Branden S Hunter | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2005-08-11 |
| 1013446103 | Jordan Thomas Houston | Physician Assistant | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2017-06-12 |
| 1487921581 | Anesthesia of Coastal Georgia LLC | Nurse Anesthetist, Certified Registered | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2011-11-18 |
| 1386791234 | Ansley S Tharpe | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2007-01-04 |
| 1053486126 | Travis F. Wiggins | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2006-11-22 |
| 1013012145 | Gastroenterology Consultants of Savannah, PC | Specialist | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2006-09-13 |
| 1821106923 | Endoscopy Center of Coastal Georgia, LLC | Clinic/Center | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2006-08-28 |
| 1962404673 | Michael D Weinman | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2005-08-12 |
| 1255333142 | Gregory D Borak | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2005-08-11 |
| 1700888682 | David M Chalikian | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2005-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245643030 | Meagan Bender | Physician Assistant | 11909 Mcauley Dr Ste D, Savannah, GA 31419-1794 | 2014-06-09 |
| 1174852149 | Michael Patrick Whitledge | Physician Assistant | 1510 Marlborough Way, Savannah, GA 31406-5048 | 2009-12-21 |
| 1376786566 | Amy B Millsap | Physician Assistant | 639a Stephenson Ave, Savannah, GA 31405-5970 | 2009-04-17 |
| 1447405477 | Nicole Hope Degennaro | Physician Assistant | 720 E 71st St, Savannah, GA 31405-4907 | 2008-11-18 |
| 1649321654 | Patricia Lucille Emfinger | Physician Assistant | 225 Candler Dr Ste 300, Savannah, GA 31405-6091 | 2007-01-16 |
| 1427126812 | Thomas P Kennane | Physician Assistant | 101 Saint George Blvd Apt 10i, Savannah, GA 31419-9351 | 2006-12-01 |
| 1932219672 | Christopher Edgerton | Physician Assistant | 42 Medical Arts Ctr, Savannah, GA 31405-4415 | 2006-08-30 |
| 1669586137 | Susan Fetter | Physician Assistant | 44 Medical Arts Ctr, Savannah, GA 31405-4415 | 2006-08-19 |
| 1689689523 | William Michael Grabowski | Physician Assistant | 8 Wheeler St, Savannah, GA 31405-5710 | 2006-07-29 |
| 1538132857 | Timothy Jay Dare Jr. | Physician Assistant | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-02-08 |
| Find all providers in SAVANNAH | ||||
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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.