Active NPI
Tracy L. Fair-Parsons, PA-C
- Physician Assistant
- Rolla, MO
National Provider Identifier
1568537181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 110764
- Practice address
- 1605 Martin Springs Dr
Ste 210
Rolla, MO 65401-2931 - Phone
- (573) 458-6326
- Fax
- (573) 458-6763
- NPI assigned
- Nov 21, 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 | 110764 | MO | Primary |
Addresses
Primary practice location
1605 Martin Springs Dr
Ste 210
Rolla, MO 65401-2931
Mailing address
PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620
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
Interoperability endpoints
- tfairparsons739@directb.mercy.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1568537181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2580",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658012580",
"telephone_number": "417-829-4620",
"fax_number": "417-829-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 MARTIN SPRINGS DR",
"address_2": "STE 210",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012931",
"telephone_number": "573-458-6326",
"fax_number": "573-458-6763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR-PARSONS",
"first_name": "TRACY",
"middle_name": "L.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "110764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.