Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Leigh Heristchi, MPH, PAC, CAQ-PSYCH

Individual provider Physician Assistant · NPI 1821072190

Kristen Leigh Heristchi, MPH, PAC, CAQ-PSYCH is a Physician Assistant in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
MPH — Master of Public Health
A graduate degree in population health.
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1801 Crystal Lake Dr
Lakeland, FL 33801-5979
Phone: (863) 709-8543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA910207 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA910207 (FL)

Record details

NPI number1821072190
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPH , PAC , CAQ-PSYCH
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

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