Krista Blackstone

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2590 S Adams Rd
Rochester Hills, MI 48309-5508

Phone

(248) 810-9274

NPI assigned

Feb 23, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695513600000",
    "number": "1073972741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 WAH LO HI DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 S ADAMS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483095508",
            "telephone_number": "248-810-9274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Walton Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483091481",
            "country_code": "US",
            "telephone_number": "248-650-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKSTONE",
        "first_name": "KRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2023-09-24",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa S. Birkmeier-Fredal, M.D.
• Brian Bishop
• Bishr Ujayli MD PC
• Jusilda Bita
• James D Black, DPM
• Kelly Blakeslee, LPC, CRC
• Jessyca Blase, LLMSW
• Cristina Blazer, PHARMD
• Melinda L Blesch, RD
• Bloomfield Hand Specialists, P.C.

• Physician Assistant in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2023; 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.