Kristen Joy Tejada, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0003079 Issued in MD

Practice address

17 Fontana LN
Suite #101
Baltimore, MD 21237-3042

Phone

(410) 687-0000

Fax

(410) 391-8656

NPI assigned

Jun 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kristen Joy Vanhorn Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

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.

• Upper Chesapeake Cardiology, LLC

  • Cardiovascular Disease Physician
  • Bel Air, MD
  • NPI 1851544159
  Medicare reassignment
• Hassan Kassamali, MD PA

  • Cardiovascular Disease Physician
  • Rosedale, MD
  • NPI 1376843094
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1942436480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FONTANA LN",
            "address_2": "SUITE #101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373042",
            "telephone_number": "410-687-0000",
            "fax_number": "410-391-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FONTANA LN",
            "address_2": "SUITE #101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373042",
            "telephone_number": "410-687-0000",
            "fax_number": "410-391-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "KRISTEN",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "VANHORN",
            "middle_name": "JOY",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katelyn Tehan
• Aniqa Tehreem, MD
• Chaya Teichman
• Melissa Hennessy Teitelbaum, MS OTR/L
• Joseph Noel Teitz, PHARM.D., RPH
• Mikaela Tejada
• Aylin Tekes, MD
• Rebka Tekeste, MD
• Ali Fuat Tekin
• Daniel Teklay, MD

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.