Active NPI
Tracy Ellen Kuper, RN, CPNP
- Nurse Practitioner
- Austin, TX
National Provider Identifier
1104954015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP112442
- Practice address
- 1301 Barbara Jordan Blvd Ste 300
Austin, TX 78723-3078 - Phone
- (512) 478-8116
- Fax
- (512) 478-9368
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP112442 | TX | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 605032 | TX |
Addresses
Primary practice location
1301 Barbara Jordan Blvd Ste 300
Austin, TX 78723-3078
Mailing address
1301 Barbara Jordan Blvd Ste 300
Austin, TX 78723-3078
Phone (512) 478-8116
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 605032 | TX | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1104954015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233078",
"telephone_number": "512-478-8116",
"fax_number": "512-478-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233078",
"telephone_number": "512-478-8116",
"fax_number": "512-478-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPER",
"first_name": "TRACY",
"middle_name": "ELLEN",
"credential": "RN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP112442",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "605032",
"primary": false
}
],
"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 May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.