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MRS. KRISTEN AMANDA ETTLIN PA-C
NPI 1548894454
Physician Assistant in Columbia, MO

Active since February 29, 2020
HARRY S. TRUMAN MEMORIAL VETERANS HOSPITAL, 800 HOSPITAL DRIVE, COLUMBIA, MO 65201(573) 814-6565(573) 814-6176 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2021, Feb 29, 2020 (2 updates tracked since 2020).

About Mrs. Kristen Amanda Ettlin Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTEN AMANDA ETTLIN PA-C (NPI 1548894454) is an individual physician assistant in Columbia, Missouri, licensed in Missouri (2021001164) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1548894454
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KRISTEN AMANDA ETTLINCredential: PA-C
Location AddressHARRY S. TRUMAN MEMORIAL VETERANS HOSPITAL, 800 HOSPITAL DRIVEColumbia, MO 65201
Mailing Address4140 Highway 54Fulton, MO 65251-3848 · (573) 544-7907
Phone(573) 814-6565
Fax(573) 814-6176
Sole ProprietorNo
Enumeration DateFebruary 29, 2020
Last NPPES UpdateSeptember 18, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2023
✔ NPI 1548894454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2021001164
Definition
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.
HARRY S. TRUMAN MEMORIAL VETERANS HOSPITAL, Columbia, MO 65201
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Other Names 1

Former Name (1)Ms. Kristen Amanda Fisher Pa-c

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NANCY JANE DIETZ PHD, RPH
Pharmacist
HARRY S. TRUMAN MEMORIAL VETERANS HOSPITAL, 800 HOSPITAL DRIVE
COLUMBIA, MO 65201
Boone County (573) 814-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Ettlin's NPI number?

The NPI number for Kristen Ettlin is 1548894454. It was assigned to this individual provider in the NPPES registry on February 29, 2020. The provider is also known as Ms. Kristen Amanda Fisher Pa-C.

Where is Kristen Ettlin located?

Kristen Ettlin practices at Harry S. Truman Memorial Veterans Hospital 800 Hospital Drive, Columbia, MO 65201. The listed phone number is (573) 814-6565.

What is Kristen Ettlin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kristen Ettlin was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.