Individual provider Active NPI

Lisa N Garber, PA-C

  • Physician Assistant
  • Round Rock, TX
National Provider Identifier
1053468892
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05086 Issued in TX
Practice address
2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone
(512) 244-4272
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA05086 TX
Medical Physician Assistant 363AM0700X 085-002928 IL
Physician Assistant 363A00000X PA05086 TX Primary

Addresses

Primary practice location

2000 S Mays St Ste 201
Round Rock, TX 78664-7580

Mailing address

2000 S Mays St Ste 201402
Round Rock, TX 78664-7531
Phone (512) 244-4272

Other practice location 1

2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone (512) 244-4272

Other practice location 2

301 Seton Pkwy
402
Round Rock, TX 78665-8002
Phone (512) 964-8342

Other identifiers 4

IdentifierTypeStateIssuer
210705402MedicaidTX
210705406MedicaidTX
210705403MedicaidTX
P00476234OtherILRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090706000276 TX Practitioner - Physician Assistant 0244231082 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085-002928ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jul 11, 2021 Accepting new patients
Seton Family of Doctors CurrentSince Jul 11, 2021 Accepting new patients
Prairie Cardiovascular Consultants LTD Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Seton Family of Doctors Past Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

301 Seton Pkwy
Ste 302
Round Rock, TX 78665
Phone (512) 324-4812

301 Seton Pkwy
Ste 402
Round Rock, TX 78665
Phone (512) 324-4815

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

1905 SW H K Dodgen Loop
Temple, TX 76502
Phone (254) 298-2400

Interoperability endpoints

  • Direct secure messaging: lisa.garber.1@8363.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1053468892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST STE 201402",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647531",
            "telephone_number": "512-244-4272",
            "fax_number": "512-324-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647580",
            "telephone_number": "512-244-4272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Mays St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786647580",
            "country_code": "US",
            "telephone_number": "512-244-4272",
            "fax_number": "512-244-2895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Seton Pkwy",
            "address_2": "402",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786658002",
            "country_code": "US",
            "telephone_number": "512-964-8342",
            "fax_number": "512-324-4726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARBER",
        "first_name": "LISA",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05086",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-002928",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210705402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210705406",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210705403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00476234",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.