Brittany Nicole Fairchild, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

025235 Issued in NY

Practice address

479 Bay Meadow Dr
Webster, NY 14580-4001

Phone

(315) 725-3670

NPI assigned

Oct 26, 2018

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1174090203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 BAY MEADOW DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804001",
            "telephone_number": "315-725-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 BAY MEADOW DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804001",
            "telephone_number": "315-725-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "025235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Extended Medical Services
• Eye Physicians and Surgeons of Western New York PLLC (Ocusight)
• Eye Physicians and Surgeons of Western New York PLLC (Ocusight)
• Eye Physicians and Surgeons of Wny (Ocusight)
• Brent William Fairchild, PA-C
• Family Eyecare Associates, O.D.P.C
• Jian-Hua Fan
• David Allan Fantuzzo, DDS
• Nicole R Farnand, DPT
• Kelly Diane Farrar, O.D.

• Physician Assistant in Webster, NY
• Providers in Webster, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.