Registry record
- NPI
- 1578815304
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 505 S Nolen Dr Ste B
Southlake, TX 76092 - Phone
- 8174107777
- In the registry since
- October 3, 2012
- Last NPPES update
- July 9, 2021
- Sole proprietor
- No
- License
- PA08076 (TX)
At this location
One other provider in our data lists 505 S Nolen Dr Ste B, Southlake as a practice address:
- Lauren Ashley Shepherd, PA
Physician Assistant · NPI 1013629864
In context
The NPI number of Gena Ettinger is 1578815304. They are a Physician Assistant in Southlake, Texas.
Gena Ettinger is one of 36 Physician Assistants in Southlake and one of 11,405 across Texas in our data.
The NPI has been in the federal registry for 13 years, since October 3, 2012.
Frequently asked questions
What is NPI 1578815304?
NPI 1578815304 is the 10-digit National Provider Identifier assigned to Gena Ettinger, a Physician Assistant practicing in Southlake, Texas. The record has been in the NPPES registry since October 3, 2012.
How do I verify this provider?
Cross-check NPI 1578815304 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA08076 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as July 9, 2021. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.