Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carrie Whiting, PA-C

Individual provider Physician Assistant · NPI 1720451610

Carrie Whiting, PA-C is a Physician Assistant in Fairfield, California. Qualified in 2015, 11 years ago. Practices with Northeastern Rural Health Clinics, an 18-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
11
Licensed in
WY
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1620 Pennsylvania Ave Ste E
Fairfield, CA 94533-3551
Phone: (707) 439-4039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PT653 (WY)

Record details

NPI number1720451610
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 2, 2015
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northeastern Rural Health Clinics — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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