Active NPI
Kay Haraguchi, PA-C
- Physician Assistant
- Amarillo, TX
National Provider Identifier
1609963255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01627
- Practice address
- 200 S Tyler St
Amarillo, TX 79101-1448 - Phone
- (806) 345-7917
- Fax
- (806) 345-7921
- NPI assigned
- Oct 6, 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 | PA01627 | TX | Primary |
Addresses
Primary practice location
200 S Tyler St
Amarillo, TX 79101-1448
Mailing address
2801 W 8TH St
Plainview, TX 79072-6737
Phone (806) 293-8561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197865201 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regence Health Network Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Hereford, TX
- NPI 1588662027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1609963255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W 8TH ST",
"city": "PLAINVIEW",
"state": "TX",
"postal_code": "790726737",
"telephone_number": "806-293-8561",
"fax_number": "806-293-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S TYLER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791011448",
"telephone_number": "806-345-7917",
"fax_number": "806-345-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARAGUCHI",
"first_name": "KAY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA01627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197865201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.