Individual provider Active NPI

Joni Cline, PA

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1629072277
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00226 Issued in TX
Practice address
4404 19TH St Ste C
Lubbock, TX 79407-2424
Phone
(806) 795-8150
Fax
(806) 791-6688
NPI assigned
Jun 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00226 TX
Physician Assistant 363A00000X PA00226 TX Primary

Addresses

Primary practice location

4404 19TH St Ste C
Lubbock, TX 79407-2424

Mailing address

PO Box 16327
Lubbock, TX 79490-6327
Phone (806) 795-8150

Other identifiers 1

IdentifierTypeStateIssuer
98701266MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070810000283 TX Practitioner - Physician Assistant 7416048053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Physician Assistant CurrentSince Aug 1, 2023 Accepting new patients
Health and Human Services Commission CurrentSince Aug 1, 2023 Accepting new patients
Consultants in Infectious Diseases Past Accepting new patients
Center for Orthopedic Surgery L.L.P. PastSince Feb 27, 2022 Accepting new patients
Jason a Ramsey Mdpa Sportszone Orthopedics PastSince Jan 4, 2026 Accepting new patients
Consultants in Infectious Diseases Past Accepting new patients
Covenant Medical Group Past Accepting new patients

Locations

1901 N US Highway 87
Big Spring, TX 79720
Phone (432) 267-8216

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0afb6793-ac40-40a5-8123-d13a308d2792/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1629072277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16327",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794906327",
            "telephone_number": "806-795-8150",
            "fax_number": "806-791-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 19TH ST STE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072424",
            "telephone_number": "806-795-8150",
            "fax_number": "806-791-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "JONI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00226",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98701266",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.