Individual provider Active NPI

Beverly Faythe Parrott, PAC

  • Medical Physician Assistant
  • Fairbanks, AK
National Provider Identifier
1700802410
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
298 Issued in AK
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 8820082746, 3 clinicians

Practice addresses (Care Compare)

1867 Airport Way
Suite 140a
Fairbanks, AK 99701-4055
Phone (907) 457-9355

Hospital & facility affiliations

  • Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.