Brittany Kershaw, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA003717 Issued in PA

Practice address

555 Glasgow St
Stowe, PA 19464-6557

Phone

(484) 945-0770

NPI assigned

Sep 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Tower Health Urgent Care, LLC

  • Emergency Medicine Physician
  • Douglassville, PA
  • NPI 1194293647

  PA

  Medicare reassignment

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1427427673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MEDICAL DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643241",
            "telephone_number": "610-327-4200",
            "fax_number": "610-327-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 GLASGOW ST",
            "city": "STOWE",
            "state": "PA",
            "postal_code": "194646557",
            "telephone_number": "484-945-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHAW",
        "first_name": "BRITTANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelius Marvin Geissen, DO
• Tracey L Gemzik, PA-C
• Cerrissa Michelle Graham I, LPN
• Kelli Haeuser, M.S., CCC-SLP
• Nicole J Heisman-Rifkin, DO
• Loriann Freese Kissling, LPN
• Danielle M Marshall, LBS
• Maximizing Intentional ABA LLC
• Susan Nafus
• Phillip David Sebrell, PHARMD

• All providers in Stowe, PA
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.