Individual provider Active NPI

Janeen N Easter, PA-C

  • Medical Physician Assistant
  • Austin, TX
National Provider Identifier
1962546069
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA04165 Issued in TX
Practice address
4100 Duval Rd
BLDG 3, Ste 200
Austin, TX 78759-3550
Phone
(512) 485-7200
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA04165 TX Primary

Addresses

Primary practice location

4100 Duval Rd
BLDG 3, Ste 200
Austin, TX 78759-3550

Mailing address

4100 Duval Rd
BLDG 3, Suite 200
Austin, TX 78759-3550
Phone (512) 485-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Pain Center, PLLC Past Accepting new patients
Central Texas Pain Institute PLLC PastSince Nov 12, 2012 Accepting new patients

Organizations & group practices 2

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1962546069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 DUVAL RD",
            "address_2": "BLDG 3, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593550",
            "telephone_number": "512-485-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 DUVAL RD",
            "address_2": "BLDG 3, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593550",
            "telephone_number": "512-485-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTER",
        "first_name": "JANEEN",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04165",
            "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 Jan 14, 2016; 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.