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KASSIE IDICULA PA
NPI 1952711947
Physician Assistant in Lubbock, TX

Active since April 30, 2014
2412 50TH ST, LUBBOCK, TX 79412(806) 744-7223(806) 740-3325 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kassie Idicula Pa NPPES

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

KASSIE IDICULA PA (NPI 1952711947) is an individual physician assistant in Lubbock, Texas, licensed in Texas (PA08972) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1952711947
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKASSIE IDICULACredential: PA
Location Address2412 50TH STLubbock, TX 79412-2504
Mailing Address2804 N Loop 289Lubbock, TX 79415-1410 · (806) 744-7223 · Fax (806) 740-3325
Phone(806) 744-7223
Fax(806) 740-3325
Sole ProprietorNo
Enumeration DateApril 30, 2014
Last NPPES UpdateOctober 13, 2014
✔ NPI 1952711947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA08972
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2412 50TH ST, Lubbock, TX 79412
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Other Names 1

Former Name (1)Kassie Nicole Quintana Pa

Other Providers at the Same Location NPPES 20

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

KAYLEIGH MINIELLY CRNA
Nurse Anesthetist, Certified Registered
2412 50TH ST
LUBBOCK, TX 79412
Lubbock County (806) 744-7223
HIGHLAND BARIATRIC CLINIC
Surgery
2412 50TH ST, SUITE 304
LUBBOCK, TX 79412
Lubbock County (806) 792-5552
RAJINDER SABAR M.D.
Anesthesiology
2412 50TH ST
LUBBOCK, TX 79412
Lubbock County (806) 744-7223
VICTORIA JOAN DORR MD
Internal Medicine (Hematology & Oncology)
2412 50TH ST
LUBBOCK, TX 79412
Lubbock County (806) 744-7223
LUBBOCK HERITAGE HOSPITAL, LLC
General Acute Care Hospital
2412 50TH ST
LUBBOCK, TX 79412
Lubbock County (806) 788-4000
TONYA ELIZABETH FIFE FNP
Nurse Practitioner (Family)
2412 50TH ST, SUITE 202
LUBBOCK, TX 79412
Lubbock County (806) 744-7223
DR. CHUONG JOHN CHAU M.D.
Anesthesiology
2412 50TH ST
LUBBOCK, TX 79412
Lubbock County (806) 744-7223
RICKY C PECK MD
Emergency Medicine
2412 50TH ST, EMERGENCY DEPARTMENT
LUBBOCK, TX 79412
Lubbock County (806) 788-4100

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 Kassie Idicula's NPI number?

The NPI number for Kassie Idicula is 1952711947. It was assigned to this individual provider in the NPPES registry on April 30, 2014. The provider is also known as Kassie Nicole Quintana PA.

Where is Kassie Idicula located?

Kassie Idicula practices at 2412 50th St, Lubbock, TX 79412. The listed phone number is (806) 744-7223.

What is Kassie Idicula's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kassie Idicula was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.