Individual provider Active NPI

Meredith Brielle Aistrup

  • Naturopath
  • Austin, TX
National Provider Identifier
1073221453
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
22-1757 Issued in AZ
Practice address
6607 Brodie LN Apt 434
Austin, TX 78745-4650
Phone
(913) 832-9263
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 22-1757 AZ Primary

Addresses

Primary practice location

6607 Brodie LN Apt 434
Austin, TX 78745-4650

Mailing address

6607 Brodie LN Apt 434
Austin, TX 78745-4650
Phone (913) 832-9263

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Omind

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22-1757AZMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Kadelyx Health LLC PastSince Feb 23, 2025 Accepting new patients

Organizations & group practices 1

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": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1073221453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6607 BRODIE LN APT 434",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454650",
            "telephone_number": "913-832-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 BRODIE LN APT 434",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454650",
            "telephone_number": "913-832-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AISTRUP",
        "first_name": "MEREDITH",
        "middle_name": "BRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "22-1757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Omind",
            "affiliation": "N",
            "address_1": "6607 Brodie Ln Apt 434",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787454650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.