Active NPI
Katharine Fiske Lord, PA
- Medical Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA07880
- Practice address
- 901 W 38TH St
Austin, TX 78705-1163 - Phone
- (512) 421-4100
- Fax
- (512) 454-4575
- NPI assigned
- Dec 15, 2008
- Last updated
- Oct 26, 2021
- 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 | PA07880 | TX | Primary |
Addresses
Primary practice location
901 W 38TH St
Austin, TX 78705-1163
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310007501 | Medicaid | TX | |
| P01808897 | Other | TX | RAILROAD |
| 310007502 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12221 Renfert Way
Suite 300
Austin, TX 78758-5453
Phone (512) 873-8900
1308 Wonder World Dr
San Marcos, TX 78666-7532
Phone (512) 396-5199
2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456
3107 Hwy 71 E
Bastrop, TX 78602-5158
Phone (512) 308-9024
4101 James Casey St
Austin, TX 78745-1145
6204 Balcones Dr
Austin, TX 78731-4214
Phone (512) 427-9400
7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313
901 W 38TH St
Suite 200
Austin, TX 78705-1165
Phone (512) 421-4100
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA07880 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Past | Accepting new patients |
Locations
12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900
901 W 38th St
Ste 300
Austin, TX 78705
Phone (512) 421-4100
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Medical Oncology Physician
- Texas City, TX
- NPI 1912174343
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1538304803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-234-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W 38TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051163",
"telephone_number": "512-421-4100",
"fax_number": "512-454-4575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "KATHARINE",
"middle_name": "FISKE",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-15",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA07880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310007501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P01808897",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310007502",
"state": "TX"
}
],
"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 Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.