Individual provider Active NPI

Aidan Kathleen Sternisha, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1548745938
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12223 Issued in TX
Practice address
908 W Terrell Ave N
Fort Worth, TX 76104-3034
Phone
(817) 820-0427
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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 PA12223 TX Primary

Addresses

Primary practice location

908 W Terrell Ave N
Fort Worth, TX 76104-3034

Mailing address

8140 Walnut Hill LN
Ste 308
Dallas, TX 75231-4461
Phone (716) 785-9050

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
I20181212002651 TX Practitioner - Physician Assistant 9335484732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellness in Sleep PAGroup PAC ID 0749235877, 4 clinicians

Practice addresses (Care Compare)

908 W Terrell Ave N
Fort Worth, TX 76104-3034
Phone (817) 820-0427

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Medical Diagnostic, Inc Past Accepting new patients
Texas Medical Diagnostic, Inc Past Accepting new patients

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1548745938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LN",
            "address_2": "STE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314461",
            "telephone_number": "716-785-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W TERRELL AVE N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043034",
            "telephone_number": "817-820-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNISHA",
        "first_name": "AIDAN",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.