AMANDA ISABEL LICEA PA-C NPI 1609110683

NPI Information

  • NPI: 1609110683
  • Provider Name: AMANDA ISABEL LICEA, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 608 RADAM LN
    AUSTIN, TX
    ZIP 78745
  • Phone: (512) 443-5988

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NPI Details

Amanda Isabel Licea, PA-C is a medical physician assistant in Austin, TX with 13 years of experience. Amanda Isabel Licea, PA-C NPI is 1609110683. 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:

608 RADAM LN
AUSTIN, TX
ZIP 78745-172
Phone: (512) 443-5988
Fax: (512) 443-5055

The NPI 1609110683 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Automated urinalysis test (HCPCS:81003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Simple bladder irrigation and/or instillation (HCPCS:51700)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Injection procedure to cause erection (HCPCS:54235)

The enumeration date for this NPI number is 11/15/2012 and was last updated on 9/22/2021.

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 AssistantMedicalPA08169TEXASYes

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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