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KATEY LYNN CRESSY PAC NPI 1811997950


NPI Information

NPI: 1811997950
Provider Name: KATEY LYNN CRESSY, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
9815 MAIN STREET
SUITE 208
DAMASCUS, MD
ZIP 20872
Phone: (301) 253-4004
Get Directions

Katey Lynn Cressy, PAC is a medical physician assistant in Damascus, MD. Katey Lynn Cressy, PAC NPI is 1811997950. 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:

9815 MAIN STREET
SUITE 208
DAMASCUS, MD
ZIP 20872-002
Phone: (301) 253-4004
Fax: (301) 253-3391

The NPI 1811997950 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 7/29/2005 and was last updated on 9/9/2015.


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
1363AM0700XPhysician AssistantMedicalC0002356MARYLANDYes

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
1C0002356OTHERMARYLANDSTATE LICENSE
2G02408D02MEDICARE PINMARYLAND
3Q74165MEDICARE UPINMARYLAND

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: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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