KRISTIN DYKSTRA PA-C
NPI 1417122011
Physician Assistant in Grand Rapids, MI

NPI Status: Active since April 24, 2008

Contact Information

4069 LAKE DR SE
SUITE 312
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 267-8700
Fax: (616) 267-8247

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  • Individual
  • Female
  • Physician Assistant

About KRISTIN DYKSTRA

This page provides the complete NPI Profile along with additional information for Kristin Dykstra, a primary care provider established in Grand Rapids, Michigan with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1417122011 assigned on April 2008. The practitioner's primary taxonomy code is 363A00000X with license number 5601005234 (MI). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1417122011
Provider Name
KRISTIN DYKSTRA PA-C
Other Name
KRISTIN COLE
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4069 LAKE DR SE SUITE 312 GRAND RAPIDS, MI 49546
Location Phone
(616) 267-8700
Location Fax
(616) 267-8247
Mailing Address
100 MICHIGAN ST NE MC845 GRAND RAPIDS, MI 49503
Is Sole Proprietor?
No
Enumeration Date
04-24-2008
Last Update Date
10-01-2021
Code Navigator

A primary care provider (PCP) like Kristin Dykstra sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601005234
License State
MI
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417122011, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 2 + 2 + 4 + 0 + 2 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1417122011.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
4069 LAKE DR SE, S-313
GRAND RAPIDS, MI 49546
Internal Medicine
4069 LAKE DR SE, SUITE 117
GRAND RAPIDS, MI 49546
Optometrist
4069 LAKE DR SE, S-315
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, STE 114
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, STE 114
GRAND RAPIDS, MI 49546
Physician Assistant
4069 LAKE DR SE, SUITE 312
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, STE 114
GRAND RAPIDS, MI 49546
Surgery
4069 LAKE DR SE, SUITE 117
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 313
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315D
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, STE. 114
GRAND RAPIDS, MI 49546
Ophthalmology
4069 LAKE DR SE, SUITE 315 D
GRAND RAPIDS, MI 49546
Podiatrist
4069 LAKE DR SE, SUITE 315 B
GRAND RAPIDS, MI 49546
Internal Medicine
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Optometrist
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 117
GRAND RAPIDS, MI 49546
Technician/Technologist (Optician)
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, SUITE 114
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417122011, enumerated as an "individual" on April 24, 2008.

The provider is located at 4069 LAKE DR SE SUITE 312 GRAND RAPIDS, MI 49546 and the phone number is (616) 267-8700.

Physician Assistant with taxonomy code 363A00000X.