Active NPI
Kristopher Durrett, PA-C
- Physician Assistant
- Greensburg, PA
National Provider Identifier
1013494608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA059934
- Practice address
- 40 Huff Avenue
Greensburg, PA 15601-5318 - Phone
- (724) 836-4662
- NPI assigned
- Jul 26, 2018
- Sex
- Male
- 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 | MA059934 | PA | Primary |
Addresses
Primary practice location
40 Huff Avenue
Greensburg, PA 15601-5318
Mailing address
717 Evergreen Ave Apt 1
Pittsburgh, PA 15209-2203
Phone (724) 469-1237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059934 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1013494608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 EVERGREEN AVE APT 1",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152092203",
"telephone_number": "724-469-1237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 HUFF AVENUE",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156015318",
"telephone_number": "724-836-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURRETT",
"first_name": "KRISTOPHER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-26",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA059934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.