Individual provider Active NPI

Lindsey Pereira Sebastian, PA

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1073988895
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10345 Issued in TX
Practice address
7211 Preston Rd Ste 1200
Plano, TX 75024-0238
Phone
(469) 303-3000
Fax
(469) 303-4510
NPI assigned
Dec 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sports Medicine Physician 2080S0010X PA10345 TX
Physician Assistant 363A00000X PA10345 TX Primary

Addresses

Primary practice location

7211 Preston Rd Ste 1200
Plano, TX 75024-0238

Mailing address

7211 Preston Rd Ste 1200
Plano, TX 75024-0238
Phone (469) 303-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL .

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
I20160125002742 TX Practitioner - Physician Assistant 8022311091 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 9, 2021 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 9, 2021 Accepting new patients
Dallas Physician Medical Services for Children Inc CurrentSince Dec 15, 2018 Accepting new patients
Texas Spine Consultants, LLP CurrentSince Sep 2, 2016 Accepting new patients
Complex Care Medical Services Corporation Past Accepting new patients

Locations

17051 Dallas Pkwy
Ste 400
Addison, TX 75001
Phone (469) 243-9390

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

1935 Medical District Dr
#411
Dallas, TX 75235

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

3500 Gaston Ave
Dallas, TX 75246

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

5757 Warren Pkwy
Ste 180
Frisco, TX 75034
Phone (214) 618-5502

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

4461 Coit Rd
Ste 101
Frisco, TX 75035
Phone (844) 557-4263

420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

7211 Preston Rd
Ste 1200
Plano, TX 75024
Phone (469) 303-3000

1300 Childrens Way
Ste 130
Prosper, TX 75078
Phone (469) 303-3000

Interoperability endpoints

  • Direct secure messaging: lpereira299168@direct.childrens.com

Organizations & group practices 10

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": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1073988895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 PRESTON RD STE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240238",
            "telephone_number": "469-303-3000",
            "fax_number": "469-303-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 PRESTON RD STE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240238",
            "telephone_number": "469-303-3000",
            "fax_number": "469-303-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "LINDSEY",
        "middle_name": "PEREIRA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "TX",
            "license": "PA10345",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".",
            "affiliation": "N",
            "address_1": "7211 Preston Rd Ste 1200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750240238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.