Individual provider Active NPI

Angela L. Parsons-Woods, PA

  • Physician Assistant
  • Mount Vernon, KY
National Provider Identifier
1205988235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA861 Issued in KY
Practice address
140 Newcomb Ave
Mount Vernon, KY 40456-2728
Phone
(606) 256-5176
Fax
(606) 256-4401
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PA861 KY Primary

Addresses

Primary practice location

140 Newcomb Ave
Mount Vernon, KY 40456-2728

Mailing address

140 Newcomb Ave
Mount Vernon, KY 40456-2728
Phone (606) 256-5176

Other identifiers 2

IdentifierTypeStateIssuer
95005252MedicaidKY
000000359662OtherANTHEM BC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20041115000952 KY Practitioner - Physician Assistant 1254395759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockcastle County Hospital, Inc.Group PAC ID 6103727433, 38 clinicians

Practice addresses (Care Compare)

140 Newcomb Ave
Mt Vernon, KY 40456-2728
Phone (606) 256-4148

145 Newcomb Ave
Mount Vernon, KY 40456-2728

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA861KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rockcastle County Hospital, Inc. Physician Assistant CurrentSince Mar 22, 2014 Accepting new patients
Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic Physician Assistant Current Accepting new patients
Rockcastle Ventures D.B.a. Rockcastle Family Health Past Accepting new patients
Baptist Health Medical Group Inc Physician Assistant Past Accepting new patients
Rockcastle Ventures Inc. D.B.a. Callie Shaffer, M.D. Past Accepting new patients

Locations

140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232

140 Newcomb Ave
Ste A
Mount Vernon, KY 40456
Phone (606) 256-0919

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

Interoperability endpoints

  • Direct secure messaging: angela.parsonswoods@rpa.eclinicaldirectplus.com
  • Direct secure messaging: rviawoods@yourcarecommunity.org

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205988235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562728",
            "telephone_number": "606-256-5176",
            "fax_number": "606-256-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562728",
            "telephone_number": "606-256-5176",
            "fax_number": "606-256-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS-WOODS",
        "first_name": "ANGELA",
        "middle_name": "L.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95005252",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000359662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

Verify at the official NPI Registry.