John Lee Rasberry, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00720 Issued in TX

Practice address

8602 Peach Ave
Tthsc/TDCJ/John T. Montford Medical/Psych Unit
Lubbock, TX 79404-7777

Phone

(806) 745-1021

Fax

(806) 745-7554

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: john.rasberry@direct.myteamcare.com

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164512117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 N COUNTY ROAD 1500",
            "city": "SHALLOWATER",
            "state": "TX",
            "postal_code": "793633019",
            "telephone_number": "806-832-1832",
            "fax_number": "806-832-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8602 PEACH AVE",
            "address_2": "TTHSC/TDCJ/JOHN T. MONTFORD MEDICAL/PSYCH UNIT",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794047777",
            "telephone_number": "806-745-1021",
            "fax_number": "806-745-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASBERRY",
        "first_name": "JOHN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramakrishnan Ranganath, MD
• Turlapati Ramamohan Rao, M.D.
• Akash Reddy Raola
• Rapid Mobile Imaging LLC
• Keal Rasavage, CRNA
• Kasandra Elva Rascon, DO
• Supannee Rassameehiran, MD
• Michael J Ratheal, ED.D.
• Stephanie Scott Ratheal, PT
• Lynsey Rather

• Medical Physician Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.