Individual provider Active NPI

Jennifer Choo, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1750013405
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
135 Cary Parkway Office Court
Suite 201
Cary, NC 27518-7425
Phone
(919) 476-1118
Fax
(855) 878-6037
NPI assigned
Jun 29, 2022
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Pediatric Dermatology Physician 207NP0225X 0010-13561 NC

Addresses

Primary practice location

135 Cary Parkway Office Court
Suite 201
Cary, NC 27518-7425

Mailing address

135 Parkway Office CT Ste 201
Cary, NC 27518-7425
Phone (919) 476-1118

Other names 1

  • Jennifer Cao Other name

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)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-13561NCMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burkhart Pediatric & Adolescent Dermatology PLLC Pediatric Dermatology CurrentSince Oct 15, 2023 Accepting new patients

Locations

135 Parkway Office Ct
Ste 201
Cary, NC 27518
Phone (919) 476-1118

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20521/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.choo.1@20521.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1750013405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PARKWAY OFFICE CT STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187425",
            "telephone_number": "919-476-1118",
            "fax_number": "855-878-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CARY PARKWAY OFFICE COURT",
            "address_2": "SUITE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187425",
            "telephone_number": "919-476-1118",
            "fax_number": "855-878-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOO",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NC",
            "license": "0010-13561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CAO",
            "credential": "JENNIFER CAO PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.