Individual provider · Type 1 NPI

Carissa Lynn Pardekooper, PA-C

Physician Assistant · Hampton, VA

NPI number 1063815017 Active

Practice location

2240 Coliseum Dr Ste D
Hampton, VA 23666-5903

Call (888) 321-7170 Map

Mailing address

1706 Todds Ln Ste 310
Hampton, VA 23666-3123

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	085005227 (IL)
Physician Assistant	363A00000X	081387
Physician Assistant Primary	363A00000X	0110008037 (VA)

Physician Assistant: 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, orde…

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About NPI 1063815017

Carissa Lynn Pardekooper, PA-C's National Provider Identifier is 1063815017, issued on Oct 6, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hampton, VA. The record was last updated on Jun 7, 2026.