Individual provider Active NPI

Maryanne E Harker, P.A.-C

  • Physician Assistant
  • Richardson, TX
National Provider Identifier
1881787349
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05315 Issued in TX
Practice address
1260 W Spring Valley Rd
Richardson, TX 75080-6720
Phone
(214) 570-9400
Fax
(855) 663-2688
NPI assigned
Oct 2, 2006
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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 PA05315 TX Primary
Medical Physician Assistant 363AM0700X PA17778 CA

Addresses

Primary practice location

1260 W Spring Valley Rd
Richardson, TX 75080-6720

Mailing address

10505 Waterview Pkwy
Rowlett, TX 75089-8485
Phone (214) 570-9400

Other names 1

  • Maryanne Harker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20231129000189 MO Practitioner - Physician Assistant 3274660329 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA05315TXMDPhysician Assistant
PA17778CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hola Doctor, PLLC Past Accepting new patients
Medcare House Calls LLC Past Accepting new patients
Medistat Group Associates, Inc. Past Accepting new patients
R Edward Roybal MD PA PastSince Apr 28, 2008 Accepting new patients
Restora House Calls PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19725/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1881787349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 WATERVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898485",
            "telephone_number": "214-570-9400",
            "fax_number": "855-663-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 W SPRING VALLEY RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750806720",
            "telephone_number": "214-570-9400",
            "fax_number": "855-663-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKER",
        "first_name": "MARYANNE",
        "middle_name": "E",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05315",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANNE",
            "last_name": "HARKER",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.