Individual provider Active NPI

Lily R Friedman, MPH, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1164149712
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20027 Issued in TX
Practice address
1004 W 32ND St Ste 200
Austin, TX 78705-1918
Phone
(512) 324-3580
Fax
(512) 324-3581
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20027 TX Primary

Addresses

Primary practice location

1004 W 32ND St Ste 200
Austin, TX 78705-1918

Mailing address

1004 W 32ND St Ste 200
Austin, TX 78705-1918
Phone (512) 324-3580

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
I20260402003057 TX Practitioner - Physician Assistant 2567947930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA20027TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Courtney Darsa Nutrition LLC Dietitian, Registered Current Accepting new patients

Locations

1266 E Main St
Ste 700R
Stamford, CT 06902
Phone (203) 340-0911

16 Madison Sq W
Fl 12
New York, NY 10010
Phone (516) 330-0944

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1164149712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051918",
            "telephone_number": "512-324-3580",
            "fax_number": "512-324-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051918",
            "telephone_number": "512-324-3580",
            "fax_number": "512-324-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "LILY",
        "middle_name": "R",
        "credential": "MPH, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA20027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.