Individual provider Active NPI

Nadia Ariqat, PA-C

  • Physician Assistant
  • Bolivar, MO
National Provider Identifier
1992314660
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57945 Issued in CA
Practice address
1155 W Parkview St Ste 2K
Bolivar, MO 65613-8598
Phone
(417) 328-7000
NPI assigned
Jul 28, 2020
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 57945 CA Primary

Addresses

Primary practice location

1155 W Parkview St Ste 2K
Bolivar, MO 65613-8598

Mailing address

1155 W Parkview St Ste 2K
Bolivar, MO 65613-8598
Phone (417) 328-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57945CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Sep 1, 2020 Accepting new patients
Mercy Hospital Carthage CurrentSince Feb 1, 2022 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Mar 12, 2021 Accepting new patients
417 Rheumatology LLC Current Accepting new patients
Usc Care Medical Group, Inc CurrentSince Sep 1, 2020 Accepting new patients
Citizens Memorial Healthcare PastSince Oct 10, 2021 Accepting new patients
Citizens Memorial Healthcare Physician Assistant PastSince Oct 10, 2021 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1500 San Pablo St
Los Angeles, CA 90033
Phone (323) 443-8500

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

Interoperability endpoints

  • Direct secure messaging: nadia.ariqat.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 7

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1992314660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W PARKVIEW ST STE 2K",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656138598",
            "telephone_number": "417-328-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W PARKVIEW ST STE 2K",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656138598",
            "telephone_number": "417-328-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIQAT",
        "first_name": "NADIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, MO

Sources for this page

Verify at the official NPI Registry.