Active NPI
Layne A Carson, PA-C
- Medical Physician Assistant
- Austin, TX
National Provider Identifier
1497948376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA02852
- Practice address
- 4534 W Gate Blvd
Ste 108
Austin, TX 78745-1485 - Phone
- (512) 892-7076
- Fax
- (512) 899-8460
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA02852 | TX | Primary |
Addresses
Primary practice location
4534 W Gate Blvd
Ste 108
Austin, TX 78745-1485
Mailing address
4534 W Gate Blvd
Ste 108
Austin, TX 78745-1485
Phone (512) 892-7076
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02852 | TX | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1497948376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4534 W GATE BLVD",
"address_2": "STE 108",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451485",
"telephone_number": "512-892-7076",
"fax_number": "512-899-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4534 W GATE BLVD",
"address_2": "STE 108",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451485",
"telephone_number": "512-892-7076",
"fax_number": "512-899-8460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "LAYNE",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA02852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.