Kristy Hamilton, PHD, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101419 Issued in FL

Practice address

604 Mar Brisa CT
Satellite Beach, FL 32937-3067

Phone

(321) 726-8192

NPI assigned

May 15, 2006

Last updated

Mar 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brevard Emergency Services

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1104870393
  NPD (past)
• Emergency Medicine Associates Inc

  • Emergency Medicine Physician
  • Vero Beach, FL
  • NPI 1366437386
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1033160056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MAR BRISA CT",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373067",
            "telephone_number": "321-726-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MAR BRISA CT",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373067",
            "telephone_number": "321-726-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KRISTY",
        "credential": "PHD, MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 15756",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "E6261U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia A Goode, ARNP
• Elizabeth Sarah Grillo, OTR/L
• Sweta Gunnell, DMD
• Susan Fulton Haines, ARNP
• Mary Eva Hall, L.M.
• Melissa Jean Hamilton, MA, CCC SLP
• Shantel Hanna
• Happy Enchilada LLC (Blue Umbrella Therapy)
• Harold Harman
• Kady Harrigan

• Physician Assistant in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.