Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Blake Perini, PA-C

Individual provider Physician Assistant · NPI 1376419093

Katherine Blake Perini, PA-C is a Physician Assistant in Lakeway, Texas. Graduated from University of Texas Medical Branch at Galveston in 2025, 1 year ago. Practices with Tmc Provider Group PLLC, a 214-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4 Lakeway Centre Ct
Lakeway, TX 78734-2757
Phone: (855) 589-8123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19607 (TX)

Record details

NPI number1376419093
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2025 (1 years in practice)
Group practice Tmc Provider Group Pllc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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