Kristina Lahtinen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA5850 Issued in MA

Practice address

266 Main St
Gardner, MA 01440-2927

Phone

(978) 630-5030

NPI assigned

Aug 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristina D'Amico Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/192/brand/1/csg/123/fhir/r4
• Direct secure messaging: kristina.d.amico.1@192.direct.athenahealth.com

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

• Athol Memorial Hospital Incorporated

  • Critical Access Hospital
  • Athol, MA
  • NPI 1336120047

  Physician Assistant

  Medicare reassignment NPD
• Henry Heywood Memorial Hospital

  • General Acute Care Hospital
  • Gardner, MA
  • NPI 1205823879

  Physician Assistant

  Medicare reassignment NPD
• Heywood Medical Group Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1699762286
  Medicare reassignment
• Heywood Medical Group Inc

  • Urgent Care Clinic/Center
  • Athol, MA
  • NPI 1881123552
  NPD

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1043765381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 MAIN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MAIN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402927",
            "telephone_number": "978-630-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHTINEN",
        "first_name": "KRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "D'AMICO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Kosewicz
• George Krasowski, M.D.
• Mona Kuchta, R.N.
• Joseph Kuszewski, RPH PHARM D
• Christopher Joseph Lafalam
• Tiffany Anne Landry, NURSE PRACTITIONER
• Tori Landry, RN
• Devon Lapierre
• Jennifer L Laroche, LICSW
• Erica Lasorsa, PA-C

• Physician Assistant in Gardner, MA
• Providers in Gardner, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.