NPIMap

Individual provider Active NPI

Caitlin Anne Andryka, PA-C

  • Physician Assistant
  • Little Rock, AR
National Provider Identifier
1326449182
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-795 Issued in AR
Practice address
6 Shackleford Dr
Little Rock, AR 72211-2858
Phone
(501) 500-5001
NPI assigned
Sep 11, 2014
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004120 OH
Physician Assistant 363A00000X PA-795 AR Primary

Addresses

Primary practice location

6 Shackleford Dr
Little Rock, AR 72211-2858

Mailing address

90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5201

Other practice location 1

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5201

Other names 1

  • Caitlin Anne Rothman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821003813 AR Practitioner - Physician Assistant 9931423357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc.Group PAC ID 0143134270, 190 clinicians

Practice addresses (Care Compare)

12 Hospital Cir
Suite a
Batesville, AR 72501-7320
Phone (870) 262-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-795ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. CurrentSince Aug 3, 2018 Accepting new patients
White River Health System, Inc. CurrentSince Aug 3, 2018 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

12 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 262-1500

16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361

Interoperability endpoints

  • Direct secure messaging: caitlin.andryka.1@13831.direct.athenahealth.com

Organizations & group practices 3

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1326449182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311560",
            "telephone_number": "740-446-5201",
            "fax_number": "740-446-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHACKLEFORD DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112858",
            "telephone_number": "501-500-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Jackson Pike",
            "address_purpose": "LOCATION",
            "city": "Gallipolis",
            "state": "OH",
            "postal_code": "456311560",
            "country_code": "US",
            "telephone_number": "740-446-5201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRYKA",
        "first_name": "CAITLIN",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004120",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "ROTHMAN",
            "middle_name": "ANNE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.