Individual provider Active NPI

Kristina Crowther Liskey, PA-C

  • Medical Physician Assistant
  • Harrisonburg, VA
National Provider Identifier
1346470291
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110003025 Issued in VA
Practice address
755A Cantrell Ave
Harrisonburg, VA 22801-4366
Phone
(804) 307-2827
NPI assigned
Jul 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0003998 MD
Medical Physician Assistant 363AM0700X 0110003025 VA Primary

Addresses

Primary practice location

755A Cantrell Ave
Harrisonburg, VA 22801-4366

Mailing address

755A Cantrell Ave
Harrisonburg, VA 22801-4366
Phone (804) 307-2827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20130323000080 VA Practitioner - Physician Assistant 8729124730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saunders and Peavy LLCGroup PAC ID 1153710017, 9 clinicians

Practice addresses (Care Compare)

182 Neff Ave
Suite W12
Harrisonburg, VA 22801-3488

343 Neff Ave
Suite C
Harrisonburg, VA 22801-3683
Phone (540) 432-9996

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0003998MDMDMedical Physician Assistant
0110003025VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vasant Datta MD LLC Past Accepting new patients

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": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1346470291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755A CANTRELL AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228014366",
            "telephone_number": "804-307-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755A CANTRELL AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228014366",
            "telephone_number": "804-307-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISKEY",
        "first_name": "KRISTINA",
        "middle_name": "CROWTHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003998",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.