Individual provider Active NPI

Catherine Raesz, PA-C

  • Physician Assistant
  • Pflugerville, TX
National Provider Identifier
1255579355
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06079 Issued in TX
Practice address
1601 E Pflugerville Pkwy Ste 3202
Pflugerville, TX 78660-7349
Phone
(512) 320-5785
Fax
(512) 980-8747
NPI assigned
Jan 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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 PA06079 TX Primary

Addresses

Primary practice location

1601 E Pflugerville Pkwy Ste 3202
Pflugerville, TX 78660-7349

Mailing address

1601 E Pflugerville Pkwy Ste 3202
Pflugerville, TX 78660-7349
Phone (512) 320-5785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1255579355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E PFLUGERVILLE PKWY STE 3202",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607349",
            "telephone_number": "512-320-5785",
            "fax_number": "512-980-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E PFLUGERVILLE PKWY STE 3202",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607349",
            "telephone_number": "512-320-5785",
            "fax_number": "512-980-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAESZ",
        "first_name": "CATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.