Kristina Carr, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0028871 Issued in NY

Practice address

40 Hurley Ave Ste 3
Kingston, NY 12401

Phone

(453) 383-2008

Fax

(845) 338-3233

NPI assigned

Jun 10, 2006

Last updated

Dec 13, 2018By the provider in NPPES

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

Other identifiers 1

Other names 1

• Kristina Heitzman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hudson Valley Emergency Medicine PLLC

  • General Practice Physician
  • Poughkeepsie, NY
  • NPI 1093746505
  NPD (past)
• Atlantic Physician Services of Maryland, P.C.

  • Physician Assistant
  • Wilmington, DE
  • NPI 1730129594
  NPD (past)
• Atlantic Physician Services of Maryland, PC

  • Physician Assistant
  • Baltimore, MD
  • NPI 1174632376
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1417998246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 MAIN ST STE D",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241791",
            "telephone_number": "845-896-7730",
            "fax_number": "845-896-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE STE 3",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "453-383-2008",
            "fax_number": "845-338-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "396 Broadway",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124014652",
            "country_code": "US",
            "telephone_number": "845-334-2890",
            "fax_number": "845-334-2816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Fox St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126014732",
            "country_code": "US",
            "telephone_number": "845-473-2350",
            "fax_number": "845-473-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "KRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0028871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01819896",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "HEITZMAN",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina Carlson, DO
• Stephanie Carlson, MS ED.
• Caitlyn Caron, M.S, ED.
• Joseph John Carpino Jr., D.C.
• Constance Marie Carr, LMSW, CASAC
• Bernadette Carranza, LCSWR
• Stephanie Jean Carro-Kowalcyk, MD
• John Carroll
• Jessica Lee Carson
• Kristin Carson

• Physician Assistant in Kingston, NY
• Providers in Kingston, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.