Individual provider Active NPI

Amy Kien Tra, PA-C

  • Medical Physician Assistant
  • Sarasota, FL
National Provider Identifier
1043875370
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9111955 Issued in FL
Practice address
3325 S Tamiami TRL Ste 200
Sarasota, FL 34239-5142
Phone
(941) 952-9223
Fax
(941) 955-0642
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9111955 FL Primary

Addresses

Primary practice location

3325 S Tamiami TRL Ste 200
Sarasota, FL 34239-5142

Mailing address

3325 S Tamiami TRL Ste 200
Sarasota, FL 34239-5142
Phone (941) 952-9223

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.tra@fdhs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624002982 FL Practitioner - Physician Assistant 4981938008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastro MD Florida, LLCGroup PAC ID 2264432558, 34 clinicians

Practice addresses (Care Compare)

2884 Wellness Ave
Orange City, FL 32763-8427
Phone (386) 668-2221

5016 W Cypress St
200 Gastroenterology of Greater Orlando
Tampa, FL 33607-3804
Phone (813) 542-2589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Southwest Florida LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amy.tra@ud.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1043875370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 S TAMIAMI TRL STE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395142",
            "telephone_number": "941-952-9223",
            "fax_number": "941-955-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 S TAMIAMI TRL STE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395142",
            "telephone_number": "941-952-9223",
            "fax_number": "941-955-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRA",
        "first_name": "AMY",
        "middle_name": "KIEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9111955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.tra@fdhs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2068 Hawthorne St",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342392367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.