Individual provider Active NPI

Emily R Kerrigan, PA-C

  • Physician Assistant
  • Allen, TX
National Provider Identifier
1134469539
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08097 Issued in TX
Practice address
1105 Central Expy N
Suite 120
Allen, TX 75013-6103
Phone
(972) 727-9995
Fax
(972) 727-8350
NPI assigned
Feb 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08097 TX Primary

Addresses

Primary practice location

1105 Central Expy N
Suite 120
Allen, TX 75013-6103

Mailing address

1125 Raintree Cir Ste 100
Allen, TX 75013-5289
Phone (972) 727-9995

Other practice location 1

7300 Eldorado Pkwy Ste 165
McKinney, TX 75070-7894
Phone (972) 727-9995

Other identifiers 1

IdentifierTypeStateIssuer
PA08097OtherTXMEDICAL LICENSE

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08097TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1134469539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 RAINTREE CIR STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135289",
            "telephone_number": "972-727-9995",
            "fax_number": "972-727-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N",
            "address_2": "SUITE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136103",
            "telephone_number": "972-727-9995",
            "fax_number": "972-727-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Eldorado Pkwy Ste 165",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750707894",
            "country_code": "US",
            "telephone_number": "972-727-9995",
            "fax_number": "972-727-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERRIGAN",
        "first_name": "EMILY",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA08097",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.