Carrie Whiting, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PT653 Issued in WY

Practice address

1620 Pennsylvania Ave Ste E
Fairfield, CA 94533-3551

Phone

(707) 439-4039

NPI assigned

Nov 2, 2015

Last updated

Dec 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Rural Health ClinicsGroup PAC ID 0446225254, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeastern Rural Health Clinics

  • Family Medicine Physician
  • Susanville, CA
  • NPI 1477563518
  Medicare reassignment Care Compare group
• County of Siskiyou

  dba County of Siskiyou Behavioral Health

  • Community/Behavioral Health Agency
  • Yreka, CA
  • NPI 1780803239
  Medicare reassignment
• Northeastern Rural Health Clinics

  dba Westwood Family Practice

  • Family Medicine Physician
  • Westwood, CA
  • NPI 1336150051
  NPD
• Rolling Hills Clinic

  • Federally Qualified Health Center (FQHC)
  • Red Bluff, CA
  • NPI 1679988950
  NPD (past)

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

• Banner Lassen Medical Center

  • Critical Access Hospital
  • Susanville, CA
  • NPI 1538197231
  Care Compare affiliation

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1720451610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 PENNSYLVANIA AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333551",
            "telephone_number": "707-439-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PENNSYLVANIA AVE STE E",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333551",
            "telephone_number": "707-439-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "CARRIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PT653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra White
• Jamie White
• Jennifer Michaela White
• Sarah White
• Shannon White
• Ashley Whitley
• Teresa B Whitley, M.D.
• Cassandra L. Whitmore, MD
• Jason C. Whitmore, MD
• Scott Gerald Whitney

• Physician Assistant in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.

Verify at the official NPI Registry.