Rachael Lichtenberger, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

11609 Anderson Mill Rd
Austin, TX 78750-1354

Phone

(512) 900-6055

NPI assigned

Sep 24, 2014

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

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: rachael.lichtenberger.1@15935.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15935/brand/1/csg/1/fhir/r4

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.

• Wildflower Pediatrics, PA

  • Pediatrics Physician
  • Austin, TX
  • NPI 1639604184
  NPD (past)

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1912309675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11609 ANDERSON MILL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501354",
            "telephone_number": "512-900-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11609 ANDERSON MILL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501354",
            "telephone_number": "512-900-6055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6618 Sitio Del Rio Blvd Ste A101",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787301144",
            "country_code": "US",
            "telephone_number": "512-241-1370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHTENBERGER",
        "first_name": "RACHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Libra Healthcare, LLC (ComforCare HomeCare- North Austin)
• Libre Rehab Staffing, LLC
• Kelsey Amber Liburd, DNP, CPNP-AC
• Visar Lica
• Amanda Isabel Licea, PA-C
• J. Brad Lichtenhan, M.D.
• Stacy L Liddle, PT
• Amanda Lieberg
• Allen Keith Lieberman, MD
• Elizabeth Liebert

• Medical Physician Assistant in Austin, TX
• Providers in Austin, 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 Mar 30, 2020; 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.