Individual provider Active NPI

Carey E Lape, PA

  • Physician Assistant
  • Waco, TX
National Provider Identifier
1205121902
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03590 Issued in TX
Practice address
600 W. State Hwy 6
Waco, TX 76712
Phone
(254) 313-6700
Fax
(254) 313-4520
NPI assigned
Jun 10, 2011
Last updated
Nov 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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 PA03590 TX Primary

Addresses

Primary practice location

600 W. State Hwy 6
Waco, TX 76712

Mailing address

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

Other names 1

  • Carey E Pryal Former name

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
I20180912000303 TX Practitioner - Physician Assistant 8527286277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

1800 Gurley LN
Waco, TX 76706-4025
Phone (254) 313-6000

600 S 25TH St
Suite 115
Temple, TX 76504-5227
Phone (254) 899-8650

600 W State Hwy 6
Waco, TX 76712-3977
Phone (254) 313-6700

6500 Imperial Dr
Suite 200
Waco, TX 76712-3977
Phone (254) 313-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA03590TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Community Health Center, Inc CurrentSince May 29, 2018 Accepting new patients
Heart of Texas Community Health Center, Inc. CurrentSince May 29, 2018 Accepting new patients

Locations

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

600 W State Highway 6
Waco, TX 76712
Phone (254) 313-6700

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1205121902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W. STATE HWY 6",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-313-6700",
            "fax_number": "254-313-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPE",
        "first_name": "CAREY",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREY",
            "last_name": "PRYAL",
            "middle_name": "E",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.