Kristen Leigh Heristchi, MPH, PAC, CAQ-PSYCH

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA910207 Issued in FL

Practice address

1801 Crystal Lake Dr
Lakeland, FL 33801-5979

Phone

(863) 709-8543

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 and National Provider Directory roles.

• Palm Medical Center Hospitalist Group, LLC

  • Hospitalist Physician
  • Coral Gables, FL
  • NPI 1174017362
  Medicare reassignment
• Palm Medical Centers

  • Clinic/Center
  • Dade City, FL
  • NPI 1952039562
  NPD
• Ernesto J Perez MD LLC

  • Legal Medicine
  • Winter Haven, FL
  • NPI 1679679872
  NPD (past)
• Tri County Human Services, Inc.

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1164485074
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1821072190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6961 INDIAN CREEK PARK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133833",
            "telephone_number": "863-397-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CRYSTAL LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015979",
            "telephone_number": "863-709-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERISTCHI",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "MPH,  PAC, CAQ-PSYCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA910207",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA910207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "E8856Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret S Henry, LMT
• Caroline Elaine Henson, DMD
• Chehan Herath, MD
• Yamisleydis Herbella Marquez
• Carol Herendeen, RD LD N
• Herman R Matallana DO PA
• Herman Singh DMD PLLC
• Lindsey Breanne Herman, COTA L
• Herminio Cuervo MD PA
• Yosemnia Hernandez Diaz

• Medical Physician Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.