Active NPI
Elisabeth Kay Hardy, P.A.
- Physician Assistant
- Fayetteville, NC
National Provider Identifier
1457543845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-01327
- Practice address
- 2587 Ravenhill Dr
Fayetteville, NC 28303-5451 - Phone
- (910) 323-1543
- NPI assigned
- Aug 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1013 | KY | |
| Physician Assistant | 363A00000X | 0010-01327 | NC | Primary |
Addresses
Primary practice location
2587 Ravenhill Dr
Fayetteville, NC 28303-5451
Mailing address
1437 Aultroy Dr
Fayetteville, NC 28306-3561
Phone (910) 263-8935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1013 | KY | MD | Physician Assistant |
| 0010-01327 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1457543845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1437 AULTROY DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283063561",
"telephone_number": "910-263-8935",
"fax_number": "910-485-6589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2587 RAVENHILL DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035451",
"telephone_number": "910-323-1543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "ELISABETH",
"middle_name": "KAY",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "1013",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-01327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.