NPIMap

Organization Active NPI

Kotel Atx

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1083430185
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KOTEL ATX
Practice address
4201 W Parmer LN Ste C175
Austin, TX 78727-4161
Phone
(855) 204-2502
NPI assigned
Nov 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Authorized official

Name
Chimene Perez
Title
Credentialing Manager
Phone
(904) 750-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4201 W Parmer LN Ste C175
Austin, TX 78727-4161

Mailing address

3001 Bee Caves Rd Ste 220
Austin, TX 78746-5590
Phone (512) 777-2591

Other practice location 1

3001 Bee Caves Rd Ste 220
Austin, TX 78746-5590
Phone (512) 777-2591

National Provider Directory

National Provider Directory

Locations

4201 W Parmer Ln
Ste C175
Austin, TX 78727
Phone (737) 263-2656

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733529600000",
    "number": "1083430185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 BEE CAVES RD STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465590",
            "telephone_number": "512-777-2591",
            "fax_number": "512-777-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W PARMER LN STE C175",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274161",
            "telephone_number": "855-204-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Bee Caves Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787465590",
            "country_code": "US",
            "telephone_number": "512-777-2591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOTEL ATX",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CHIMENE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "904-750-3344"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 7, 2024; 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.