Active NPI
Alyx Parrott
- Physician Assistant
- Edmond, OK
National Provider Identifier
1003535782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5474
- Practice address
- 620 W 15TH St
Edmond, OK 73013-3617 - Phone
- (405) 359-0551
- NPI assigned
- Aug 25, 2022
- Last updated
- Nov 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5474 | OK | Primary |
Addresses
Primary practice location
620 W 15TH St
Edmond, OK 73013-3617
Mailing address
1111 W 17TH St
Tulsa, OK 74107-1886
Other practice location 1
1111 W 17th St
Tulsa, OK 74107-1886
Phone (918) 561-1145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 W 15TH St
Edmond, OK 73013-3617
Phone (405) 359-0551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Edmond, OK
- NPI 1912043019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1003535782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W 17TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741071886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 W 15TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133617",
"telephone_number": "405-359-0551"
}
],
"practiceLocations": [
{
"address_1": "1111 W 17th St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741071886",
"country_code": "US",
"telephone_number": "918-561-1145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARROTT",
"first_name": "ALYX",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-25",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "5474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.