Individual provider Active NPI

Carrie E McPherson, RPA

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1306040480
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011592 Issued in NY
Practice address
18 Limestone Dr Ste 5
Williamsville, NY 14221-8602
Phone
(716) 632-1400
Fax
(716) 632-5316
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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 011592 NY Primary

Addresses

Primary practice location

18 Limestone Dr Ste 5
Williamsville, NY 14221-8602

Mailing address

18 Limestone Dr Ste 5
Williamsville, NY 14221-8602
Phone (716) 632-1400

Other identifiers 1

IdentifierTypeStateIssuer
011592OtherNYLICENSE

Other names 1

  • Ms. Carrie E Farr Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Valley Group Health Association Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1306040480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LIMESTONE DR STE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218602",
            "telephone_number": "716-632-1400",
            "fax_number": "716-632-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LIMESTONE DR STE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218602",
            "telephone_number": "716-632-1400",
            "fax_number": "716-632-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "CARRIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "011592",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "FARR",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "RPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.