CARA-LEA PEARL LITTLE PA NPI 1417196411

NPI Information

NPI: 1417196411
Provider Name: CARA-LEA PEARL LITTLE, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
9901 MEDICAL CENTER DR
ROCKVILLE, MD
ZIP 20850
Phone: (240) 826-7072
Get Directions

Cara-lea Pearl Little, PA is a surgical physician assistant in Rockville, MD. Cara-lea Pearl Little, PA NPI is 1417196411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9901 MEDICAL CENTER DR
ROCKVILLE, MD
ZIP 20850-357
Phone: (240) 826-7072
Fax: (240) 826-7040

The NPI 1417196411 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/13/2009 and was last updated on 3/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	C0004225	MARYLAND	No
2	363A00000X	Physician Assistant		0110002959	VIRGINIA	No
3	363A00000X	Physician Assistant		2277	TENNESSEE	No
4	363AS0400X	Physician Assistant	Surgical	2277	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103I973288	MEDICARE PIN	TENNESSEE
2	4343921	OTHER	TENNESSEE	BCBS - PA ASSIST SURGERY
3	103I976925	MEDICARE PIN	TENNESSEE
4	P01281383	OTHER	TENNESSEE	RAILROAD MEDICARE
5	Q000472	MEDICAID	TENNESSEE
6	9250991	OTHER	TENNESSEE	AETNA
7	1417196411	MEDICAID	VIRGINIA
8	4343919	OTHER	TENNESSEE	BLUECROSS BLUESHIELD
9	MC12779	MEDICARE PIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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