Individual provider Active NPI

Kelly Hamilton

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1053793364
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128357 Issued in TX
Practice address
6010 Balcones Dr
Austin, TX 78731-4270
Phone
(512) 299-2229
NPI assigned
Jun 23, 2015
Last updated
Jun 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128357 TX Primary

Addresses

Primary practice location

6010 Balcones Dr
Austin, TX 78731-4270

Mailing address

30203 Meadow Greens Dr
Georgetown, TX 78628-1022
Phone (512) 779-1117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150901001567 TX Practitioner - Nurse Practitioner 6800102179 Reassigns benefits to 2 organizations
I20190328002761 NV Practitioner - Nurse Practitioner 6800102179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128357TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services TX PLLC Family CurrentSince Jun 6, 2023 Accepting new patients
Curana Health of Nevada PLLC CurrentSince Jan 30, 2019 Accepting new patients

Locations

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

5351 Montessouri St
Las Vegas, NV 89113
Phone (702) 251-2200

2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606

8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826

1007 S Washington Ave
Marshall, TX 75670
Phone 3379919276261

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1053793364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30203 MEADOW GREENS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281022",
            "telephone_number": "512-779-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314270",
            "telephone_number": "512-299-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.