Individual provider Active NPI

Rachal Anne Katerle, PA-C

  • Physician Assistant
  • West Lake Hills, TX
National Provider Identifier
1417734773
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17219 Issued in TX
Practice address
4407 Bee Caves Rd Ste 111
West Lake Hills, TX 78746-6498
Phone
(512) 902-6920
Fax
(512) 287-5547
NPI assigned
Sep 11, 2023
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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 PA17219 TX Primary

Addresses

Primary practice location

4407 Bee Caves Rd Ste 111
West Lake Hills, TX 78746-6498

Mailing address

4407 Bee Caves Rd Ste 111
West Lake Hills, TX 78746-6498
Phone (512) 902-6920

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA17219TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Zaaz Wellness, PLLC CurrentSince May 7, 2024 Accepting new patients

Locations

4407 Bee Caves Rd
Ste 111
West Lake Hills, TX 78746
Phone (512) 902-6920

Organizations & group practices 1

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1417734773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 111",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466498",
            "telephone_number": "512-902-6920",
            "fax_number": "512-287-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 111",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466498",
            "telephone_number": "512-902-6920",
            "fax_number": "512-287-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATERLE",
        "first_name": "RACHAL",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.