Individual provider Active NPI

Katherine Ann Chadwick, PA-C

  • Physician Assistant
  • Paris, TX
National Provider Identifier
1386004570
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10361 Issued in TX
Practice address
1122 E Austin St
Paris, TX 75460-0411
Phone
(903) 783-1999
Fax
(903) 783-1167
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10361 TX
Physician Assistant 363A00000X PA10361 TX Primary

Addresses

Primary practice location

1122 E Austin St
Paris, TX 75460-0411

Mailing address

8486 County Road 43200
Powderly, TX 75473-4335
Phone (903) 249-6058

Other practice location 1

865 DeShong Dr
Paris, TX 75460-9313
Phone (903) 785-4521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160509001327 TX Practitioner - Physician Assistant 5193024453 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10361TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Family Medical Clinic CurrentSince Feb 6, 2022 Accepting new patients
Paris Wellness Center & Medical Spa PastSince Feb 6, 2022 Accepting new patients

Locations

1122 E Austin St
Paris, TX 75460
Phone (903) 783-0500

Interoperability endpoints

  • Direct secure messaging: katherine.chadwick.1@14940.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1386004570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8486 COUNTY ROAD 43200",
            "city": "POWDERLY",
            "state": "TX",
            "postal_code": "754734335",
            "telephone_number": "903-249-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E AUSTIN ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754600411",
            "telephone_number": "903-783-1999",
            "fax_number": "903-783-1167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 DeShong Dr",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754609313",
            "country_code": "US",
            "telephone_number": "903-785-4521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10361",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.