Lisa Ann Burchett, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 00608 Issued in TX

Practice address

3501 Cattleman Dr
Manchaca, TX 78652-3112

Phone

(512) 292-5904

NPI assigned

Sep 26, 2008

Last updated

Nov 18, 2010By 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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lburchett@direct-searhc.org

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.

• Spirit Lake Tribe

  dba Spirit Lake Health Center

  • Health Service Clinic/Center
  • Fort Totten, ND
  • NPI 1114472891

  TX

  Medicare reassignment
• Medical Practice Management-LLC

  • Physician Assistant
  • Austin, TX
  • NPI 1538445127
  NPD (past)
• Eastern Aleutian Tribes, Inc

  • Community Health Clinic/Center
  • King Cove, AK
  • NPI 1649332446
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1619127677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CATTLEMAN DR",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786523112",
            "telephone_number": "512-292-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CATTLEMAN DR",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786523112",
            "telephone_number": "512-292-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 00608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "PA-00608",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Active RX LLC
• Adrienne Haladyna LPC, PLLC
• Erica Anderson, LM
• Bianelly Valdez (Express Care, Inc)
• Mavis Ann Bradsher, LCSW
• BVW Express Care LLC (Express Care)
• Mary Frances Camp, LMSW
• Capital Area Psychological & Evaluation Services, PLLC (Capes)
• Bradford Colbert, LPC-I
• Connected and Committed

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.