Natalie Crystal Enabnit, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04264 Issued in TX

Practice address

6205 43Rd St
Lubbock, TX 79407-3828

Phone

(806) 749-2263

Fax

(806) 749-2264

NPI assigned

Jun 25, 2006

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1285660712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12402 SLIDE RD STE 402",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248322",
            "telephone_number": "806-544-9248",
            "fax_number": "806-642-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 43RD ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073828",
            "telephone_number": "806-749-2263",
            "fax_number": "806-749-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENABNIT",
        "first_name": "NATALIE",
        "middle_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.