Active NPI
Andi Dey Faldyn, P.A.-C
- Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05980
- Practice address
- 10815 Ranch Road 2222 BLDG 3a
Austin, TX 78730-1159 - Phone
- (512) 327-4262
- Fax
- (512) 327-4260
- NPI assigned
- Oct 30, 2008
- Last updated
- Dec 8, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA05980 | TX | Primary |
Addresses
Primary practice location
10815 Ranch Road 2222 BLDG 3a
Austin, TX 78730-1159
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Other practice location 1
6611 River Place Blvd Ste 201
Austin, TX 78730-1167
Phone (512) 467-7770
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rediclinic Austin, LLC | Current | Accepting new patients | |
| Scott & White Memorial Hospital | Past | Accepting new patients |
Locations
500 Canyon Ridge Dr
Austin, TX 78753
Phone (512) 836-9000
6900 Brodie Ln
Austin, TX 78745
Phone (512) 891-8906
170 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 259-5755
Interoperability endpoints
- andi.faldyn@217291636408324.direct.elationemr.com
Organizations & group practices 2
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.
-
- Clinic/Center
- Austin, TX
- NPI 1235594821
-
dba Baylor Scott & White Hospice - Austin
- Community Based Hospice Care Agency
- Round Rock, TX
- NPI 1891468591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1952554230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10815 RANCH ROAD 2222 BLDG 3A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787301159",
"telephone_number": "512-327-4262",
"fax_number": "512-327-4260"
}
],
"practiceLocations": [
{
"address_1": "6611 River Place Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787301167",
"country_code": "US",
"telephone_number": "512-467-7770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALDYN",
"first_name": "ANDI",
"middle_name": "DEY",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-30",
"last_updated": "2017-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA05980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.