MR. JOHN LEE RASBERRY PA-C
NPI 1164512117
Physician Assistant - Medical in Lubbock, TX

Active since October 13, 2006
8602 PEACH AVE, TTHSC/TDCJ/JOHN T. MONTFORD MEDICAL/PSYCH UNIT, LUBBOCK, TX 79404(806) 745-1021(806) 745-7554 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Lee Rasberry Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN LEE RASBERRY PA-C (NPI 1164512117) is an individual medical provider in Lubbock, Texas, licensed in Texas (PA00720) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1164512117
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOHN LEE RASBERRYCredential: PA-C
Location Address8602 PEACH AVE, TTHSC/TDCJ/JOHN T. MONTFORD MEDICAL/PSYCH UNITLubbock, TX 79404-7777
Mailing Address11211 N County Road 1500Shallowater, TX 79363-3019 · (806) 832-1832 · Fax (806) 832-0918
Fax(806) 745-7554
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1164512117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA00720
8602 PEACH AVE, Lubbock, TX 79404

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
8602 PEACH AVE
LUBBOCK, TX 79404
Nurse Practitioner (Psychiatric/Mental Health)
8602 PEACH AVE
LUBBOCK, TX 79404
Clinical Medical Laboratory
8602 PEACH AVE
LUBBOCK, TX 79404
Physician Assistant
8602 PEACH AVE
LUBBOCK, TX 79404
Nurse Practitioner (Psychiatric/Mental Health)
8602 PEACH AVE
LUBBOCK, TX 79404
Psychologist (Counseling)
8602 PEACH AVE
LUBBOCK, TX 79404
Nurse Practitioner (Psychiatric/Mental Health)
8602 PEACH AVE
LUBBOCK, TX 79404
Nurse Practitioner (Psychiatric/Mental Health)
8602 PEACH AVE
LUBBOCK, TX 79404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Rasberry's NPI number?

The NPI number for John Rasberry is 1164512117. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is John Rasberry located?

John Rasberry practices at 8602 Peach Ave Tthsc/Tdcj/John T. Montford Medical/Psych Unit, Lubbock, TX 79404. The listed phone number is (806) 745-1021.

What is John Rasberry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for John Rasberry was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.