Kristin Birkedal

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102074 Issued in FL

Practice address

1133 6TH St
Daytona Beach, FL 32117-4142

Phone

(386) 253-6959

NPI assigned

Apr 27, 2013

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)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367020800000",
    "number": "1790129237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OAK KNOLL WAY",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746764",
            "telephone_number": "386-615-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 6TH ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174142",
            "telephone_number": "386-253-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKEDAL",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-27",
        "last_updated": "2013-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Florida, Inc.
• Sarah Ann Bionelli, APRN
• Fran M Birch
• Shelly Anne Birch, MD
• Christian L Birkedal, MD
• Amanda Bischoff
• Adrienne Bishop
• Harry H Black, MD
• Paul Anthony Blackwood, MD
• Paula Jeanne Blais, ARNP-C

• Physician Assistant in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2013; 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.