Active NPI
Stacy Lynn Pasquarella, MPA-C
- Physician Assistant
- Sebring, FL
National Provider Identifier
1083767537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9104031
- Practice address
- 2373 US Highway 27 S
Sebring, FL 33870-4926 - Phone
- (863) 763-5675
- Fax
- (863) 382-2561
- NPI assigned
- Jan 19, 2007
- 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 | PA 9104031 | FL | Primary |
Addresses
Primary practice location
2373 US Highway 27 S
Sebring, FL 33870-4926
Mailing address
2373 US Highway 27 S
Sebring, FL 33870-4926
Phone (863) 763-5675
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 |
|---|---|---|---|
| PA 9104031 | FL | MD | Physician Assistant |
Interoperability endpoints
- stacy.pasquarella.1@19457.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083767537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2373 US HIGHWAY 27 S",
"city": "SEBRING",
"state": "FL",
"postal_code": "338704926",
"telephone_number": "863-763-5675",
"fax_number": "863-382-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2373 US HIGHWAY 27 S",
"city": "SEBRING",
"state": "FL",
"postal_code": "338704926",
"telephone_number": "863-763-5675",
"fax_number": "863-382-2561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASQUARELLA",
"first_name": "STACY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9104031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.