Individual provider Active NPI

Kristin A Harris, PAC

  • Medical Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1245311133
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002551L Issued in PA
Practice address
153 Brodhead Rd
Bethlehem, PA 18017
Phone
(484) 526-3218
Fax
(484) 526-3180
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002551L PA Primary

Addresses

Primary practice location

153 Brodhead Rd
Bethlehem, PA 18017

Mailing address

2904 Edgemont Dr
Allentown, PA 18103-5410
Phone (610) 434-6699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20070220000135 PA Practitioner - Physician Assistant 9133221302 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA002551LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Carbon-Schuylkill Community Hospital, Inc. CurrentSince Aug 1, 2018 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Aug 1, 2018 Accepting new patients
St Luke's Hospital CurrentSince Aug 1, 2018 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Aug 1, 2018 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Aug 1, 2018 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Aug 1, 2018 Accepting new patients
St. Luke's Hosptial CurrentSince Aug 1, 2018 Accepting new patients
St. Luke's Hospital - Anderson Campus CurrentSince Aug 1, 2018 Accepting new patients
St. Luke's Hosptial CurrentSince Aug 1, 2018 Accepting new patients

Locations

153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Organizations & group practices 11

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1245311133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 EDGEMONT DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035410",
            "telephone_number": "610-434-6699",
            "fax_number": "215-529-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BRODHEAD RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18017",
            "telephone_number": "484-526-3218",
            "fax_number": "484-526-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002551L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.