Kristi McClellan Mantay, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110002575 Issued in VA

Practice address

1380 Tuscany Dr
Virginia Beach, VA 23456-7751

Phone

(757) 301-9200

Fax

(757) 301-9214

NPI assigned

Jul 27, 2007

Last updated

Jul 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1760672596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 TUSCANY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567751",
            "telephone_number": "757-301-9200",
            "fax_number": "757-301-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 TUSCANY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567751",
            "telephone_number": "757-301-9200",
            "fax_number": "757-301-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTAY",
        "first_name": "KRISTI",
        "middle_name": "MCCLELLAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Brianna Mansel, BAS, RBT
• Allison Nina Mansfield, MS, RD
• Chloe Noelle Mansfield, MS CCC-SLP
• Martha Elizabeth Mansfield, A.T.C.
• Antoinette Danielle Manson
• Amber Mantel, FNP
• Kelli Marie Manteo
• Mantra Weight Loss, PLLC (Mantra Aesthetic Studio)
• Alyssa Marie Manuel
• Joshua Ryan Manuel, DPT, CSCS

• Physician Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.