Individual provider Active NPI

Lindsey Marie Havel, PA-C

  • Physician Assistant
  • Cypress, TX
National Provider Identifier
1831476621
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06117 Issued in TX
Practice address
10720 Barker Cypress Rd
Cypress, TX 77433-1372
Phone
(281) 345-4800
Fax
(281) 345-4803
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06117 TX Primary

Addresses

Primary practice location

10720 Barker Cypress Rd
Cypress, TX 77433-1372

Mailing address

9911 Double Bayou CT
Cypress, TX 77433-3155
Phone (281) 221-9141

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
I20190911003843 TX Practitioner - Physician Assistant 1052640349

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06117TXMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1831476621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 DOUBLE BAYOU CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333155",
            "telephone_number": "281-221-9141",
            "fax_number": "281-345-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 BARKER CYPRESS RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331372",
            "telephone_number": "281-345-4800",
            "fax_number": "281-345-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEL",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.