NPIMap

Individual provider Active NPI

Lisa D Garrett, PA-C

  • Physician Assistant
  • Garland, TX
National Provider Identifier
1194731463
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04425 Issued in TX
Practice address
2300 Marie Curie Dr
Garland, TX 75042-5706
Phone
(972) 272-6561
NPI assigned
Jul 31, 2006
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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 PA04425 TX Primary

Addresses

Primary practice location

2300 Marie Curie Dr
Garland, TX 75042-5706

Mailing address

300 Highland Meadows Dr
Wylie, TX 75098-5075
Phone (972) 941-6745

Other identifiers 1

IdentifierTypeStateIssuer
PA04425OtherTXPHYSICIAN ASSISTANT LICENSE

Other names 1

  • Lisa D Paul Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330001107 TX Practitioner - Physician Assistant 3072569250 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA04425TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Chung MD PLLC PastSince May 13, 2010 Accepting new patients
Health Texas Provider Network Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Texas Em-I Medical Services, P.a. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDADBA
  • Direct secure messaging: lisa.garrett.1@29118.direct.athenahealth.com

Organizations & group practices 8

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1194731463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGHLAND MEADOWS DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750985075",
            "telephone_number": "972-941-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MARIE CURIE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425706",
            "telephone_number": "972-272-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "PA04425",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PAUL",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.