Active NPI
Jennifer L Auth, PA
- Physician Assistant
- Chandler, AZ
National Provider Identifier
1679695746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2936
- Practice address
- 855 E Warner Rd Ste F-100
Urgent Care Extra
Chandler, AZ 85225-0997 - Phone
- (480) 620-6724
- NPI assigned
- Apr 6, 2007
- 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 | 2936 | AZ | Primary |
Addresses
Primary practice location
855 E Warner Rd Ste F-100
Urgent Care Extra
Chandler, AZ 85225-0997
Mailing address
855 E Warner Rd Ste R-100
Urgent Care Extra
Chandler, AZ 85225-0997
Phone (480) 620-6724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 824997 | Medicaid | AZ |
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 |
|---|---|---|---|
| 2936 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Appointment MD | Past | Accepting new patients | |
| Ucxtra Umbrella, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Phoenix, AZ
- NPI 1942429923
-
- Urgent Care Clinic/Center
- Chandler, AZ
- NPI 1518952365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1679695746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 E WARNER RD STE R-100",
"address_2": "URGENT CARE EXTRA",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852250997",
"telephone_number": "480-620-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 E WARNER RD STE F-100",
"address_2": "URGENT CARE EXTRA",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852250997",
"telephone_number": "480-620-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUTH",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "824997",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.