ALICIA PATE PA NPI 1457358913

NPI Information

NPI: 1457358913
Provider Name: ALICIA PATE, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3900 ST FRANCIS WAY STE 201
LAFAYETTE, IN
ZIP 47905
Phone: (765) 446-7981
Get Directions

Alicia Pate, PA is a surgical physician assistant in Lafayette, IN. Alicia Pate, PA NPI is 1457358913. 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:

3900 ST FRANCIS WAY STE 201
LAFAYETTE, IN
ZIP 47905-923
Phone: (765) 446-7981

The NPI 1457358913 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 6/30/2005 and was last updated on 12/2/2014.

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	363AM0700X	Physician Assistant	Medical	085002324	ILLINOIS	No
2	363AM0700X	Physician Assistant	Medical	10001351A	INDIANA	No
3	363AS0400X	Physician Assistant	Surgical	08502324	ILLINOIS	No
4	363AS0400X	Physician Assistant	Surgical	10001351A	INDIANA	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	M400059731	MEDICARE PIN	INDIANA
2	000000741060	OTHER	INDIANA	ANTHEM PROVIDER NUMBER
3	2005016213	OTHER	MISSOURI	LICENSE
4	149700002	MEDICARE PIN	INDIANA
5	085002324	OTHER	ILLINOIS	LICENSE
6	214881	MEDICARE PIN	ILLINOIS
7	558430087	MEDICARE PIN	INDIANA

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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