KRISTIE OLIVER PA NPI 1669754958

NPI Information

NPI: 1669754958
Provider Name: KRISTIE OLIVER, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
260 CREST RD
SUITE 103
SAINT ALBANS, VT
ZIP 05478
Phone: (802) 524-8911
Get Directions

Kristie Oliver, PA is a medical physician assistant in Saint Albans, VT with 13 years of experience. Kristie Oliver, PA NPI is 1669754958. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

260 CREST RD
SUITE 103
SAINT ALBANS, VT
ZIP 05478-503
Phone: (802) 524-8911

The NPI 1669754958 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/13/2011 and was last updated on 10/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	055.0031181	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1102040	OTHER	CALIFORNIA	NCCPA
2	PA21832	OTHER	CALIFORNIA	STATE OF CALIFORNIA- PA LICENSE
3	055.0031181	OTHER	VERMONT	VT STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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