Active NPI
Kristen Danielle Rasmussen, PA-C
- Physician Assistant
- Augusta, GA
National Provider Identifier
1497088603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005689
- Practice address
- 811 13TH Street
Suite 10
Augusta, GA 30901 - Phone
- (706) 434-1590
- Fax
- (706) 434-1595
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005689 | GA | Primary |
Addresses
Primary practice location
811 13TH Street
Suite 10
Augusta, GA 30901
Mailing address
811 13TH Street
Suite 10
Augusta, GA 30901
Phone (706) 434-1590
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1089725 | Other | GA | PHYSICIAN ASSISTANT CERTIFICATION |
| 005689 | Other | GA | GEORGIA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005689 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1497088603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 13TH STREET",
"address_2": "SUITE 10",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30901",
"telephone_number": "706-434-1590",
"fax_number": "706-434-1595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 13TH STREET",
"address_2": "SUITE 10",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30901",
"telephone_number": "706-434-1590",
"fax_number": "706-434-1595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "KRISTEN",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "GA",
"license": "005689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT CERTIFICATION",
"identifier": "1089725",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA LICENSE",
"identifier": "005689",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.