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Individual provider Active NPI

Chatriece Andrea Dennis, PA-C

  • Physician Assistant
  • Salisbury, MD
National Provider Identifier
1659718765
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0005049 Issued in MD
Practice address
2425 N Salisbury Blvd
Salisbury, MD 21801-2138
Phone
(410) 334-6351
Fax
(410) 334-6352
NPI assigned
May 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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 C0005049 MD Primary

Addresses

Primary practice location

2425 N Salisbury Blvd
Salisbury, MD 21801-2138

Mailing address

31516 Winterplace Pkwy Ste 103
Salisbury, MD 21804-2417
Phone (410) 334-6351

Other practice location 1

1604 Market St
Pocomoke City, MD 21851-1714
Phone (410) 957-9488

Other names 1

  • Chatriece Andrea Lawson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412002806 MD Practitioner - Physician Assistant 0547568206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Huddleston and Dinardo PAGroup PAC ID 1456383132, 2 clinicians

Practice addresses (Care Compare)

106 Milford St
Suite 103
Salisbury, MD 21804-6966
Phone (410) 749-1171

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • Enhabit Home Health Home health agency, Salisbury, MD, CCN 217157
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0005049MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Mar 5, 2016 Accepting new patients
MNR Industries LLC CurrentSince Mar 5, 2016 Accepting new patients
MNR Industries LLC Past Accepting new patients

Locations

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

Interoperability endpoints

  • Direct secure messaging: chatriece.dennis.1@25448.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1659718765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31516 WINTERPLACE PKWY STE 103",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042417",
            "telephone_number": "410-334-6351",
            "fax_number": "410-334-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 N SALISBURY BLVD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012138",
            "telephone_number": "410-334-6351",
            "fax_number": "410-334-6352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Market St",
            "address_purpose": "LOCATION",
            "city": "Pocomoke City",
            "state": "MD",
            "postal_code": "218511714",
            "country_code": "US",
            "telephone_number": "410-957-9488",
            "fax_number": "410-957-9680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "CHATRIECE",
        "middle_name": "ANDREA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHATRIECE",
            "last_name": "LAWSON",
            "middle_name": "ANDREA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.