Christina Kvistad Carlson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4849 Issued in CT

Practice address

108 New London Tpke Ste 1
Norwich, CT 06360-2645

Phone

(860) 889-3052

NPI assigned

Dec 16, 2019

Last updated

Nov 7, 2022By 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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Physician Assistant

Education

Yale University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Contemporary Care LLCGroup PAC ID 9537408141, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Contemporary Care, LLC

  • Multi-Specialty Clinic/Center
  • Danbury, CT
  • NPI 1639734338
  Medicare reassignment Care Compare group NPD
• Norwich Psychiatric Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Norwich, CT
  • NPI 1518003680
  NPD (past)

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1508404005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NEW LONDON TPKE STE 1",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602645",
            "telephone_number": "860-889-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NEW LONDON TPKE STE 1",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602645",
            "telephone_number": "860-889-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CHRISTINA",
        "middle_name": "KVISTAD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508404005",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://contemporarycarecenters.com/",
            "affiliation": "N",
            "endpointDescription": "Contemporary Care Centers",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Practice Website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Practice Website",
            "address_1": "84 Hospital Ave",
            "city": "Danbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068109001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Icanotes.com",
            "affiliation": "N",
            "address_1": "108 New London Tpke Ste 1",
            "city": "Norwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063602645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian A. Cardona, LCSW
• Deysha Marie Cardona
• Lindy Carelli
• Carina Vero Vora, DDS LLP (Vora Dental Care)
• Caring Angels Homecare LLC
• Lynn M Carnaroli IV, DC
• Carol Campbell LMFT
• Laura Caron, LMSW
• Kimberly Snow Caroti
• Chelsa Marie Carrier

• Physician Assistant in Norwich, CT
• Providers in Norwich, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.

Verify at the official NPI Registry.