Active NPI
Faseeha Raza, PA-C
- Physician Assistant
- Arlington, TX
National Provider Identifier
1023632759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6407 S Cooper St Ste 117
Arlington, TX 76001-5813 - Phone
- (817) 472-7061
- NPI assigned
- May 28, 2020
- Last updated
- Apr 23, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13867 | TX | |
| Physician Assistant | 363A00000X | NU | Primary | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
6407 S Cooper St Ste 117
Arlington, TX 76001-5813
Mailing address
8668 John Hickman Pkwy Ste 1003
Frisco, TX 75034-9388
Phone (469) 466-2727
Other practice location 1
8668 John Hickman Pkwy Ste 1003
Frisco, TX 75034-9388
Phone (469) 466-2727
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contact@mydermpa.com | Direct |
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 |
|---|---|---|---|
| PA13867 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1023632759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8668 JOHN HICKMAN PKWY STE 1003",
"city": "FRISCO",
"state": "TX",
"postal_code": "750349388",
"telephone_number": "469-466-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6407 S COOPER ST STE 117",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760015813",
"telephone_number": "817-472-7061"
}
],
"practiceLocations": [
{
"address_1": "8668 John Hickman Pkwy Ste 1003",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750349388",
"country_code": "US",
"telephone_number": "469-466-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAZA",
"first_name": "FASEEHA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA13867",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contact@mydermpa.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "8668 John Hickman Pkwy Ste 1003",
"city": "Frisco",
"state": "TX",
"country_code": "US",
"postal_code": "750349388",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.