Becky T Herrmann, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10-02667 Issued in NC

Practice address

3505 Converse Dr Ste 200
Wilmington, NC 28403-6132

Phone

(910) 392-5634

Fax

(910) 392-5654

NPI assigned

Dec 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1245534759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 CONVERSE DR STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036132",
            "telephone_number": "910-392-5634",
            "fax_number": "910-392-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CONVERSE DR STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036132",
            "telephone_number": "910-392-5634",
            "fax_number": "910-392-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "BECKY",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "10-02667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851480610",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Barry Herring, MD
• Henry H. Herring Jr., R.PH.
• Kelly Herringdine, C.R.N.A.
• Glenn Hough Herrington, PHARMD
• Megan Whitley Herrington, PA
• Jennifer Herrmann, RD, IBCLC
• Hesed Counseling, PLLC
• Christopher Aaron Hess, M.D.
• Jeremy Mark Hess, DO
• Sarah Hess, LMFT

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.