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Carissa Pardekooper, PA-C

NPI 1063815017 · on the registry since 2014

Practice

Address
2240 Coliseum Dr Ste D
Hampton, VA 23666
Phone
(888) 321-7170
Organisation at this address
Cutisco Llc
Francis D Mullen Dmd Pc
Shayegh And Khanna Dds Pllc
Mid-Atlantic Womens Care Plc
1foot 2foot Centre For Foot And Ankle Care, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
363A00000X
Licence states on file
IL, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia