Active NPI
Elizabeth Edythe Blankenship, PA-C
- Physician Assistant
- Austin, TX
National Provider Identifier
1902903966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03508
- Practice address
- 5339 N Ih 35
Austin, TX 78723-2557 - Phone
- (512) 978-8130
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03508 | TX | Primary |
Addresses
Primary practice location
5339 N Ih 35
Austin, TX 78723-2557
Mailing address
1111 E Cesar Chavez St
Austin, TX 78702-4209
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Community Care Collaborative | Past | Accepting new patients |
Locations
1500 Red River St
Austin, TX 78701
Phone (512) 324-0150
11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1902903966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E CESAR CHAVEZ ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787024209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5339 N IH 35",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232557",
"telephone_number": "512-978-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANKENSHIP",
"first_name": "ELIZABETH",
"middle_name": "EDYTHE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03508",
"primary": true
}
],
"identifiers": [],
"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 Jul 1, 2025; 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.