Regenerate Austin Wellness PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REGENERATE AUSTIN WELLNESS PLLC

Practice address

4201 Bee Caves Rd Ste C213
West Lake Hills, TX 78746-6458

Phone

(512) 474-1895

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Andrea Mertz

Title

Owner

Phone

(512) 474-1895

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1093394660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD STE C213",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD STE C213",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466458",
            "telephone_number": "512-474-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATE AUSTIN WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-474-1895"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Ray
• Michael Kyle Raymond, DDS
• Reeves Psychological Services (Texas Psychology and Assessment Center or TPACenter)
• Kelsi Wynn Reeves, LPC ASSOCIATE
• Regan Lester- Rodriguez, PHD, PC
• Regina Jensen, DDS, PA
• Michael Reiff, LPC-ASSOCIATE
• Jacqueline Reiser, DC
• Relational
• Rebecca Renee Rendon-Lott, PSY.D, LPC, LCPC,NCC

• Internal Medicine Physician in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.