Active NPI
Debra Carr, PA-C
- Physician Assistant
- Galeton, PA
National Provider Identifier
1891835203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA051928
- Practice address
- 30 River St
Galeton, PA 16922-1203 - Phone
- (814) 435-2942
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA051928 | PA | Primary |
Addresses
Primary practice location
30 River St
Galeton, PA 16922-1203
Mailing address
207 A Frame Rd
Coudersport, PA 16915-8059
Other practice location 1
222 Church St
Westfield, PA 16950-1538
Phone (814) 367-5971
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | debra.a.carr@upmcdirect.com | Direct | Charles Cole Memorial Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110413000902 | PA | Order and Referring Only - Physician Assistant | 4789649690 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1891835203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 A FRAME RD",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169158059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 RIVER ST",
"city": "GALETON",
"state": "PA",
"postal_code": "169221203",
"telephone_number": "814-435-2942"
}
],
"practiceLocations": [
{
"address_1": "222 Church St",
"address_purpose": "LOCATION",
"city": "Westfield",
"state": "PA",
"postal_code": "169501538",
"country_code": "US",
"telephone_number": "814-367-5971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARR",
"first_name": "DEBRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA051928",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "debra.a.carr@upmcdirect.com",
"affiliation": "Y",
"endpointDescription": "UPMC Cole",
"affiliationName": "Charles Cole Memorial Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1001 E 2nd St",
"city": "Coudersport",
"state": "PA",
"country_code": "US",
"postal_code": "16915",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Galeton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.