Active NPI
Nora R Fallon, PA-C
- Physician Assistant
- Wylie, TX
National Provider Identifier
1205956083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00644
- Practice address
- 601 Sanden Blvd
Wylie, TX 75098-4923 - Phone
- (615) 778-4066
- Fax
- (615) 778-9114
- NPI assigned
- Mar 29, 2007
- Last updated
- Nov 28, 2011
- 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 | PA00644 | TX | Primary |
Addresses
Primary practice location
601 Sanden Blvd
Wylie, TX 75098-4923
Mailing address
720 Cool Springs Blvd
Suite 300
Franklin, TN 37067-2626
Phone (615) 778-4066
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 |
|---|---|---|---|
| PA00644 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1205956083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 COOL SPRINGS BLVD",
"address_2": "SUITE 300",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370672626",
"telephone_number": "615-778-4066",
"fax_number": "615-778-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 SANDEN BLVD",
"city": "WYLIE",
"state": "TX",
"postal_code": "750984923",
"telephone_number": "615-778-4066",
"fax_number": "615-778-9114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLON",
"first_name": "NORA",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wylie, TX
- Jaelyn Monique Evans, SLP
- Lisa Carol Evans, M.A.
- Excel Medical Billing & Healthcare Services
- Ez Health RCM LLC
- Angela Wallace Fadahunsi, MD
- Jessica Dyann Fambrough, PTA
- Family Physicians of Wylie PA
- Fannin County Hospital Authority (Founders Plaza Nursing & Rehab)
- Jason Michael Fannin
- Farfalla Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.