Individual provider Active NPI

Allison Joan Redner, PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • Dallas, TX
National Provider Identifier
1912646100
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
PA15722 Issued in TX
Practice address
7331 Gaston Ave Ste 180
Dallas, TX 75214-4131
Phone
(214) 499-9555
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X PA15722 TX Primary

Addresses

Primary practice location

7331 Gaston Ave Ste 180
Dallas, TX 75214-4131

Mailing address

7331 Gaston Ave Ste 180
Dallas, TX 75214-4131
Phone (214) 499-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230118000502 TX Practitioner - Physician Assistant 5092186767 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
Christine D Brown, MD, PAGroup PAC ID 6507992203, 4 clinicians

Practice addresses (Care Compare)

3600 Gaston Ave
Dallas, TX 75246-1800
Phone (214) 828-0016

3600 Gaston Ave
Dallas, TX 75246-1836

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA15722TXMDEmergency Medical Services (Emergency Medicine) Physician

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1912646100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 GASTON AVE STE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144131",
            "telephone_number": "214-499-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 GASTON AVE STE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144131",
            "telephone_number": "214-499-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDNER",
        "first_name": "ALLISON",
        "middle_name": "JOAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "PA15722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.