Individual provider Active NPI

Casey Anne Slusher, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1164855631
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08619 Issued in TX
Practice address
3708 Jefferson St
Ste a
Austin, TX 78731-6206
Phone
(512) 459-6503
Fax
(512) 454-7453
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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 PA08619 TX Primary

Addresses

Primary practice location

3708 Jefferson St
Ste a
Austin, TX 78731-6206

Mailing address

3708 Jefferson St
Ste a
Austin, TX 78731-6206
Phone (512) 459-6503

Other identifiers 1

IdentifierTypeStateIssuer
522947YMVUOtherWNI

Other names 1

  • Casey Anne Vasta Former name

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

State licenses

LicenseStateTypeSpecialty
PA08619TXMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1164855631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 JEFFERSON ST",
            "address_2": "STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316206",
            "telephone_number": "512-459-6503",
            "fax_number": "512-454-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 JEFFERSON ST",
            "address_2": "STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316206",
            "telephone_number": "512-459-6503",
            "fax_number": "512-454-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUSHER",
        "first_name": "CASEY",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WNI",
            "identifier": "522947YMVU",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "VASTA",
            "middle_name": "ANNE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.