Active NPI
Kaye R McLain, PA
- Physician Assistant
- Lubbock, TX
National Provider Identifier
1073779427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4316 23Rd St
Lubbock, TX 79410-1812 - Phone
- (806) 701-5858
- Fax
- (806) 701-5799
- NPI assigned
- Aug 5, 2008
- Last updated
- Apr 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
4316 23Rd St
Lubbock, TX 79410-1812
Mailing address
4316 23Rd St
Lubbock, TX 79410-1812
Phone (806) 701-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA05887 | Other | TX | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- kaye.mclain@direct.myteamcare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1073779427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4316 23RD ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101812",
"telephone_number": "806-701-5858",
"fax_number": "806-701-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4316 23RD ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101812",
"telephone_number": "806-701-5858",
"fax_number": "806-701-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAIN",
"first_name": "KAYE",
"middle_name": "R",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA05887",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.