Active NPI
Carmen Amanda McCracken Gay, PA-C
- Physician Assistant
- Cedar Park, TX
National Provider Identifier
1467416248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02349
- Practice address
- 500 W Whitestone Blvd
Ste. 100
Cedar Park, TX 78613-2245 - Phone
- (512) 250-3900
- Fax
- (512) 249-6232
- NPI assigned
- Apr 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02349 | TX | Primary |
Addresses
Primary practice location
500 W Whitestone Blvd
Ste. 100
Cedar Park, TX 78613-2245
Mailing address
500 W Whitestone Blvd
Ste. 100
Cedar Park, TX 78613-2245
Phone (512) 250-3900
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 |
|---|---|---|---|
| PA02349 | TX | MD | Physician Assistant |
Interoperability endpoints
- carmen.gay.1@31607.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1467416248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W WHITESTONE BLVD",
"address_2": "STE. 100",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132245",
"telephone_number": "512-250-3900",
"fax_number": "512-249-6232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W WHITESTONE BLVD",
"address_2": "STE. 100",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132245",
"telephone_number": "512-250-3900",
"fax_number": "512-249-6232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "CARMEN",
"middle_name": "AMANDA MCCRACKEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.