MS. COURTNEY ELIZABETH RIDER PA-C NPI 1245425701

NPI Information

  • NPI: 1245425701
  • Provider Name: MS. COURTNEY ELIZABETH RIDER, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1301 W 38TH ST
    SUITE 514
    AUSTIN, TX
    ZIP 78705
  • Phone: (512) 681-0500

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NPI Details

MS. Courtney Elizabeth Rider, PA-C is a medical physician assistant in Austin, TX with 19 years of experience. MS. Courtney Elizabeth Rider, PA-C NPI is 1245425701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1301 W 38TH ST
SUITE 514
AUSTIN, TX
ZIP 78705-000
Phone: (512) 681-0500
Fax: (512) 681-0501

The NPI 1245425701 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 11/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA05208TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1TXB122961MEDICARE PINTEXAS
2TXB117646MEDICARE PINTEXAS
3211232802MEDICAIDTEXAS
4211232803MEDICAIDTEXAS
5831N41OTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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