Individual provider Active NPI

Ashlea Mica Lucas, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1962591024
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
02589 Issued in TX
Practice address
4544 S Lamar Blvd Ste 760
Austin, TX 78745
Phone
(512) 433-6333
Fax
(512) 433-6331
NPI assigned
Oct 12, 2006
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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 02589 TX Primary

Addresses

Primary practice location

4544 S Lamar Blvd Ste 760
Austin, TX 78745

Mailing address

1601 Trinity St
Austin, TX 78712-1765
Phone (512) 495-5300

Other practice location 1

4544 S LaMar Blvd Ste 760
Austin, TX 78745-1594
Phone (512) 433-6333

Other practice location 2

4544 S LaMar Blvd Ste 760
Austin, TX 78745-1594
Phone (512) 433-6333

Other names 1

  • Mrs. Ashlea Mica Harpold Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070521000415 TX Practitioner - Physician Assistant 4082710199 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02589TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas at Austin CurrentSince May 1, 2018 Accepting new patients
Seton Family of Doctors CurrentSince Jan 30, 2017 Accepting new patients
Central Texas Pain Institute PLLC PastSince Nov 12, 2012 Accepting new patients
University Health Services Past Accepting new patients
Central Texas Pain Center, PLLC Past Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

1601 Trinity St
Stop Z0200
Austin, TX 78712
Phone (512) 495-5512

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1962591024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121765",
            "telephone_number": "512-495-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4544 S LAMAR BLVD STE 760",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "telephone_number": "512-433-6333",
            "fax_number": "512-433-6331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4544 S LaMar Blvd Ste 760",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787451594",
            "country_code": "US",
            "telephone_number": "512-433-6333",
            "fax_number": "512-433-6331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4544 S LaMar Blvd Ste 760",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787451594",
            "country_code": "US",
            "telephone_number": "512-433-6333",
            "fax_number": "512-433-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "ASHLEA",
        "middle_name": "MICA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "02589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEA",
            "last_name": "HARPOLD",
            "middle_name": "MICA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.