Angela Allred, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2314 Issued in AZ

Practice address

2240 Winrow Ave
USA Meddac, Rwbahc
Sierra Vista, AZ 85613

Phone

(520) 533-6709

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dean D Ettinger MD PC

  • Pediatric Adolescent Medicine Physician
  • Sierra Vista, AZ
  • NPI 1689925711
  NPD (past)
• Dean Ettinger MD, PC

  • Pediatrics Physician
  • Sierra Vista, AZ
  • NPI 1013048149
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346329844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2196 W QUAIL HOLLOW TRL",
            "city": "SAINT DAVID",
            "state": "AZ",
            "postal_code": "856306043",
            "telephone_number": "520-533-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WINROW AVE",
            "address_2": "USA MEDDAC, RWBAHC",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85613",
            "telephone_number": "520-533-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hussam Fuad Eid Al-Jawaldeh, MD
• Alan P Kawakami DDS PC
• Dana J Albalate, CNM
• Regina Lenette Allen
• Alliance Healthcare Services Inc
• Ayah Khaled-Fozan Almufleh, M.D
• Samantha M Alspach Landesman, LAC
• Alternatives Counseling Service, Inc.
• Abby Marie Alvarez
• American Medical Response of Cochise County LLC (Arizona Ambulance Transport)

• Physician Assistant in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.