Individual provider Active NPI

Andi Dey Faldyn, P.A.-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1952554230
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05980 Issued in TX
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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
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

OrganizationSpecialtyStatusNew patients
Rediclinic Austin, LLC CurrentSince Apr 14, 2015 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.