Kayla Andresio, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08730 Issued in TX

Practice address

2950 Dowlen Rd
Beaumont, TX 77706-7226

Phone

(866) 389-2727

NPI assigned

Dec 9, 2013

Last updated

Sep 29, 2016By 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Primary Care Anywhere, PLLC

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1245898808
  Medicare reassignment
• Pca Setx LLC

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1760275945
  NPD (past)

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1730510223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 MYSTIC LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777132312",
            "telephone_number": "409-791-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067226",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESIO",
        "first_name": "KAYLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Joshua Anderson, PT, DPT
• Emery M. Anderson Sr.
• Jenea Antionette Anderson
• Natosha Diane Anderson, LCSW
• Stephanie Andraos, PHARM.D, RPH
• Andrew Mann Optometrist PA (Visionmann)
• Rosa Andrew
• Andy Brian Duke, P.C.
• Anesthesia Associates
• Anesthesia Associates Group PLLC

• Physician Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.