Individual provider Active NPI

Andrea R Flynn, PA-C

  • Physician Assistant
  • Ocala, FL
National Provider Identifier
1831424605
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108223 Issued in FL
Practice address
3320 SW 34TH Cir
Ocala, FL 34474-3371
Phone
(352) 629-8154
NPI assigned
Oct 12, 2009
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108223 FL Primary

Addresses

Primary practice location

3320 SW 34TH Cir
Ocala, FL 34474-3371

Mailing address

4701 SW College Rd
Ocala, FL 34474-4740
Phone (352) 861-5565

Other practice location 1

305 Beechwood Blvd
Murfreesboro, NC 27855-1134
Phone (252) 398-3323

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9108223FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Chowan Community Health Center Inc Past Accepting new patients

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": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1831424605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SW COLLEGE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744740",
            "telephone_number": "352-861-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SW 34TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743371",
            "telephone_number": "352-629-8154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Beechwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "NC",
            "postal_code": "278551134",
            "country_code": "US",
            "telephone_number": "252-398-3323",
            "fax_number": "252-398-4163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ANDREA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.