Active NPI
Kristin Leigh Hart, PAC
- Physician Assistant
- Round Rock, TX
National Provider Identifier
1053341974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03818
- Practice address
- 301 Seton Pkwy
Suite 102
Round Rock, TX 78665-8002 - Phone
- (512) 334-1885
- Fax
- (512) 334-1890
- NPI assigned
- Jul 4, 2006
- Last updated
- Apr 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03818 | TX | Primary |
Addresses
Primary practice location
301 Seton Pkwy
Suite 102
Round Rock, TX 78665-8002
Mailing address
8701 Shoal Creek Blvd
Suite 201
Austin, TX 78757-6864
Phone (512) 334-1885
Other names 1
- Kristin Leigh Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1053341974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 SHOAL CREEK BLVD",
"address_2": "SUITE 201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787576864",
"telephone_number": "512-334-1885",
"fax_number": "512-334-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SETON PKWY",
"address_2": "SUITE 102",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786658002",
"telephone_number": "512-334-1885",
"fax_number": "512-334-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "KRISTIN",
"middle_name": "LEIGH",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "DAVIS",
"middle_name": "LEIGH",
"credential": "PAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.