Individual provider Active NPI

Kristen Louise Dowdell, PA-C

  • Surgical Physician Assistant
  • Hudson, OH
National Provider Identifier
1568814382
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50.006371RX Issued in OH
Practice address
1049 Scarlet Oak Dr Apt D
Hudson, OH 44236-4542
Phone
(716) 812-2722
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 50.006371RX OH Primary

Addresses

Primary practice location

1049 Scarlet Oak Dr Apt D
Hudson, OH 44236-4542

Mailing address

1049 Scarlet Oak Dr Apt D
Hudson, OH 44236-4542
Phone (716) 812-2722

Other practice location 1

180 Park Club Ln
Williamsville, NY 14221-5263
Phone (716) 839-9402

Other names 1

  • Miss Kristen Louise Cipolla Former name

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019776NYMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1568814382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 SCARLET OAK DR APT D",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364542",
            "telephone_number": "716-812-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 SCARLET OAK DR APT D",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364542",
            "telephone_number": "716-812-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Park Club Ln",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142215263",
            "country_code": "US",
            "telephone_number": "716-839-9402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWDELL",
        "first_name": "KRISTEN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.006371RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "CIPOLLA",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.