Individual provider Active NPI

Kendall Christian, PA-C

  • Physician Assistant
  • Ashburn, VA
National Provider Identifier
1104760529
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110011777 Issued in VA
Practice address
21170 Ashby Ponds Blvd
Ashburn, VA 20147-6128
Phone
(703) 723-1999
NPI assigned
Apr 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0010482 MD
Physician Assistant 363A00000X 0110011777 VA Primary

Addresses

Primary practice location

21170 Ashby Ponds Blvd
Ashburn, VA 20147-6128

Mailing address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (877) 345-5300

Other practice location 1

8800 Walther Blvd
Parkville, MD 21234-9001
Phone (877) 345-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20260501001439 VA Practitioner - Physician Assistant 3476021080 Reassigns benefits to 1 organization
I20260511000006 DC Practitioner - Physician Assistant 3476021080 Reassigns benefits to 2 organizations
I20260521001697 MD Practitioner - Physician Assistant 3476021080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Site Dermatology LLCGroup PAC ID 5991736837, 20 clinicians

Practice addresses (Care Compare)

10200 Colvin Run Rd
Great Falls, VA 22066-1830
Phone (561) 314-2000

4435 N Pershing Dr
Arlington, VA 22203-2748
Phone (561) 314-2000

4595 Burke Station Rd
Fairfax, VA 22032-1938
Phone (877) 345-5300

885 Kempsville Rd
Suite 309
Norfolk, VA 23502-3800
Phone (561) 314-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0010482MDMDPhysician Assistant
0110011777VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Dermatology LLC CurrentSince Apr 1, 2026 Accepting new patients

Locations

4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081

21170 Ashby Ponds Blvd
Ashburn, VA 20147
Phone (571) 291-6131

885 Kempsville Rd
Ste 309
Norfolk, VA 23502
Phone (757) 347-2712

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1104760529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "877-345-5300",
            "fax_number": "561-989-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21170 ASHBY PONDS BLVD",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476128",
            "telephone_number": "703-723-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Walther Blvd",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212349001",
            "country_code": "US",
            "telephone_number": "877-345-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "KENDALL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0010482",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.