NPIMap

Individual provider Active NPI

Cally Richardson, PA-C

  • Physician Assistant
  • Lehighton, PA
National Provider Identifier
1780279158
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
211 N 12TH St
Lehighton, PA 18235-1138
Phone
(484) 526-5585
NPI assigned
Mar 7, 2021
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

211 N 12TH St
Lehighton, PA 18235-1138

Mailing address

211 N 12TH St
Lehighton, PA 18235-1138
Phone (272) 639-5011

Other practice location 1

4170 City Ave
Philadelphia, PA 19131-1610
Phone (215) 871-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220629003913 PA Practitioner - Physician Assistant 7719367218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc Single Specialty CurrentSince Apr 25, 2022 Accepting new patients
St Luke's Physician Group Inc Single Specialty CurrentSince Apr 25, 2022 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
St. Luke's Physician Group, Inc. Single Specialty Past Accepting new patients

Locations

3131 College Heights Blvd
Ste 2200
Allentown, PA 18104
Phone (610) 433-8615

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

801 Ostrum St
Ste 2
Fountain Hill, PA 18015
Phone (610) 954-1735

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

525 Iron St
Lehighton, PA 18235
Phone (272) 639-5050

525 Iron St
#2
Lehighton, PA 18235

200 St Lukes Ln
Ste 201
Stroudsburg, PA 18360
Phone (272) 212-1024

1299 E Broad St
Tamaqua, PA 18252
Phone (484) 526-5585

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1780279158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 12TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351138",
            "telephone_number": "272-639-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 12TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351138",
            "telephone_number": "484-526-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4170 City Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191311610",
            "country_code": "US",
            "telephone_number": "215-871-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CALLY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.