Active NPI
Kristyn E Gooding, PA-C
- Medical Physician Assistant
- Lancaster, PA
National Provider Identifier
1720157480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA052756
- Practice address
- 540 N Duke St
Lancaster, PA 17602-2374 - Phone
- (717) 544-4950
- Fax
- (717) 544-2625
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA052756 | PA | Primary |
Addresses
Primary practice location
540 N Duke St
Lancaster, PA 17602-2374
Mailing address
1918 Park PLZ
Lancaster, PA 17601-3817
Phone (717) 606-2978
Other names 1
- Kristyn E Lehman
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA052756 | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1720157480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 PARK PLZ",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176013817",
"telephone_number": "717-606-2978",
"fax_number": "717-544-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 N DUKE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022374",
"telephone_number": "717-544-4950",
"fax_number": "717-544-2625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODING",
"first_name": "KRISTYN",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA052756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTYN",
"last_name": "LEHMAN",
"middle_name": "E",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.