Active NPI
Beverly Faythe Parrott, PAC
- Medical Physician Assistant
- Fairbanks, AK
National Provider Identifier
1700802410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 298
- Practice address
- 1867 Airport Way Ste 140a
Fairbanks, AK 99701-4055 - Phone
- (907) 457-9355
- Fax
- (907) 457-9356
- NPI assigned
- Jul 14, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 298 | AK | Primary |
Addresses
Primary practice location
1867 Airport Way Ste 140a
Fairbanks, AK 99701-4055
Mailing address
1867 Airport Way Ste 140a
Fairbanks, AK 99701-4055
Phone (907) 457-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121213000498 | AK | Practitioner - Physician Assistant | 4385648401 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Hahneman Medical College of the Pacific, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Polar Wind Medical Center Inc
Practice addresses (Care Compare)
1867 Airport Way
Suite 140a
Fairbanks, AK 99701-4055
Phone (907) 457-9355
Hospital & facility affiliations
- Fairbanks Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- beverly.parrott@polarwind.cernerdirect.com
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.
Hospital & facility affiliations 1
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": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700802410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1867 AIRPORT WAY STE 140A",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014055",
"telephone_number": "907-457-9355",
"fax_number": "907-457-9356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1867 AIRPORT WAY STE 140A",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014055",
"telephone_number": "907-457-9355",
"fax_number": "907-457-9356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARROTT",
"first_name": "BEVERLY",
"middle_name": "FAYTHE",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AK",
"license": "298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.