Individual provider Active NPI

Kathleen Ann Parma, PA-C

  • Physician Assistant
  • Victoria, TX
National Provider Identifier
1457540585
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05460 Issued in TX
Practice address
2700 Citizens PLZ
Ste 301
Victoria, TX 77901-5754
Phone
(361) 579-1371
Fax
(361) 579-1373
NPI assigned
Oct 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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 PA05460 TX Primary

Addresses

Primary practice location

2700 Citizens PLZ
Ste 301
Victoria, TX 77901-5754

Mailing address

1908 N Laurent St
Ste 370
Victoria, TX 77901-5457
Phone (361) 572-0333

Other identifiers 1

IdentifierTypeStateIssuer
821N08OtherTXBLUE CROSS

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
I20080312000038 TX Practitioner - Physician Assistant 0042395295 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Coast Health Care of Texas, PAGroup PAC ID 3274589742, 4 clinicians

Practice addresses (Care Compare)

2700 Citizens PLZ
Suite 100
Victoria, TX 77901-5756
Phone (361) 579-1371

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.31 of 100Reported as group
Quality
82.03
Improvement activities
40
Cost
78.33

Merit-based Incentive Payment System (MIPS)

Final score
95.72 of 100Reported as group
Quality
91.03
Improvement activities
40
Cost
86.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA05460TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Emergency Associates LLC CurrentSince Jun 1, 2016 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1457540585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N LAURENT ST",
            "address_2": "STE 370",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015457",
            "telephone_number": "361-572-0333",
            "fax_number": "361-572-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CITIZENS PLZ",
            "address_2": "STE 301",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015754",
            "telephone_number": "361-579-1371",
            "fax_number": "361-579-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMA",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "821N08",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.