Kelsey Hyde, DNP, FNP-C

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1096014 Issued in TX

Practice address

2309 Santa Maria St
Austin, TX 78702-4617

Phone

(512) 580-9204

Fax

(512) 488-3668

NPI assigned

Feb 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Dwyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Modern Pediatrics Professionals, PLLC

  • Pediatrics Physician
  • Austin, TX
  • NPI 1154952505
  NPD

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1093412975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 49TH ST UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512607",
            "telephone_number": "972-369-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 SANTA MARIA ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024617",
            "telephone_number": "512-580-9204",
            "fax_number": "512-488-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "KELSEY",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "1096014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "DWYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hyde Park Counseling Center
• Hyde Park Surgery Center, LLC
• Brannon Ray Hyde, MD
• Carolyn Hyde, M.D.
• Jessica Kathryn Hyde, RN, BSN, PMHNP-BC
• Madeline Claire Daboub Hyde, LCSW
• William Harold Hyde, M.D.
• Katherine Eileen Hyer, LCSW
• Andrew Shawn Hyland, PA-C
• Brittany M Hynek, PA-C, MS

• Pediatrics Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.