Individual provider Active NPI

Alicia A Higgins, PA-C

  • Surgical Physician Assistant
  • Springfield, MA
National Provider Identifier
1215002738
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2188 Issued in MA
Practice address
3640 Main St
Suite 302
Springfield, MA 01107-1145
Phone
(413) 732-4242
NPI assigned
Nov 21, 2006
Last updated
Feb 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2188 MA
Surgical Physician Assistant 363AS0400X 002394 CT
Surgical Physician Assistant 363AS0400X PA2188 MA Primary

Addresses

Primary practice location

3640 Main St
Suite 302
Springfield, MA 01107-1145

Mailing address

59 Gianna Dr
Manchester, CT 06042-1972
Phone (413) 695-1887

Other practice location 1

263 Farmington Avenue
Farmignton, CT 06030-8082
Phone (860) 679-8080

Other practice location 2

130 Division St
Derby, CT 06418-1326
Phone (203) 732-1330

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
2394CTMDChiropractor
2188MAMDRegistered Dietitian
002394CTMDSurgical Physician Assistant
PA2188MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Affiliated Practice Organization Medical Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Medical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alicia.higgins@xdr.hhchealthdirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1215002738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 GIANNA DR",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421972",
            "telephone_number": "413-695-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 302",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-732-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Avenue",
            "address_purpose": "LOCATION",
            "city": "Farmignton",
            "state": "CT",
            "postal_code": "060308082",
            "country_code": "US",
            "telephone_number": "860-679-8080",
            "fax_number": "860-679-1340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Division St",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "CT",
            "postal_code": "064181326",
            "country_code": "US",
            "telephone_number": "203-732-1330",
            "fax_number": "203-732-1332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "ALICIA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "2188",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "002394",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA2188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.