Active NPI
Kendall Christian, PA-C
- Physician Assistant
- Ashburn, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110011777
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C0010482 | MD | MD | Physician Assistant |
| 0110011777 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Site Dermatology LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.