Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARISSA LYNN PARDEKOOPER, PA-C
ActiveCARISSA LYNN PARDEKOOPER, PA-C is a Physician Assistant healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1063815017 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VIRGINIA BEACH, VA
Registration Details
- NPI Number
- 1063815017
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2014 (11.810574518793 yrs)
- Last Updated
- Jul 18, 2025
- Licenses
-
085005227 (IL)0813870110008037 (VA)
Practice Information
- Address
-
2117 GENERAL BOOTH BLVDVIRGINIA BEACH, VA, 234545803Browse VA providers · Browse ZIP 23454
- Phone
- 7576898183
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in VIRGINIA BEACH, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. LISA J HALL | PA | 1356349047 |
| PAUL H SALKEY | PA-C | 1720072077 |
| EVAN E JONES | PA-C | 1902887516 |
| SCOTT PIANIN | P.A.-C. | 1821075714 |
| AIMEE BUNDICK MORGAN | PA | 1396723631 |
| MR. ROBERT SCOTT ODEWALD | PA-C, PHARM.D. | 1073592457 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.