Loryn Alexis Higginbotham, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA17078 Issued in TX

Practice address

7005 Woodway Dr Ste 203
Waco, TX 76712-6162

Phone

(254) 379-9299

NPI assigned

Aug 30, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Natural Primary Care

  • Family Medicine Physician
  • Woodway, TX
  • NPI 1609572338
  NPD

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1740065408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S NEW RD APT 1212",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767111828",
            "telephone_number": "806-281-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 WOODWAY DR STE 203",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126162",
            "telephone_number": "254-379-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "LORYN",
        "middle_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA17078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Ann Hetherington, LPC
• Roderick Davis Hetzel, PHD
• Donald Eugene Hicks, PA
• Robyn Laverne Lee Hicks, LCSW
• Jennifer Adcock Higginbotham, LPC
• Highlands Foot & Ankle
• Robyn L Hightower, DR
• Stephanie Nicole Hild, SLP-ASSISTANT
• Ashley Brooke Hill-Allen, PHD, LMFT, LPCS, NCC
• Candace Hill

• Medical Physician Assistant in Waco, TX
• Providers in Waco, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.