Individual provider Active NPI

Andrea Nicole Parrish, PA-C

  • Physician Assistant
  • Dysart, PA
National Provider Identifier
1952970964
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2492 Wopsy Rd
Dysart, PA 16636-9020
Phone
(814) 207-1216
NPI assigned
Jun 23, 2021
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA Primary

Addresses

Primary practice location

2492 Wopsy Rd
Dysart, PA 16636-9020

Mailing address

2492 Wopsy Rd
Dysart, PA 16636-9020
Phone (814) 207-1216

Other practice location 1

300 E Plank Rd
Altoona, PA 16602-4154
Phone (814) 946-3801

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816002310 PA Practitioner - Physician Assistant 6507261427 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennyslvania CurrentSince Aug 10, 2021 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Aug 10, 2021 Accepting new patients

Locations

300 E Plank Rd
Altoona, PA 16602
Phone (814) 941-7708

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Organizations & group practices 4

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1952970964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 WOPSY RD",
            "city": "DYSART",
            "state": "PA",
            "postal_code": "166369020",
            "telephone_number": "814-207-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2492 WOPSY RD",
            "city": "DYSART",
            "state": "PA",
            "postal_code": "166369020",
            "telephone_number": "814-207-1216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166024154",
            "country_code": "US",
            "telephone_number": "814-946-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dysart, PA

Sources for this page

Verify at the official NPI Registry.