Active NPI
Kimberly A Monnin, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- L7817
- Practice address
- 9200 Wall St
Austin, TX 78754-4534 - Phone
- (512) 375-1275
- Fax
- (512) 873-5004
- NPI assigned
- Jul 20, 2006
- Last updated
- May 16, 2023
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A83665 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | L7817 | TX | Primary |
Addresses
Primary practice location
9200 Wall St
Austin, TX 78754-4534
Mailing address
9200 Wall St
Austin, TX 78754-4534
Phone (512) 375-1275
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A836650 | Medicaid | CA | |
| 311355701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83665 | CA | MD | Specialist |
| A83865 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom & Huang | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Austin Pathology Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Austin Pathology Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Diagnostic Pathology Medical Group Inc | Specialist | Past | Accepting new patients |
Locations
3445 Executive Center Dr
Ste 250
Austin, TX 78731
Phone (512) 339-1275
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
9200 Wall St
Austin, TX 78754
Phone (512) 339-1275
2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777
3131 University Dr E
Bryan, TX 77802
Phone (979) 680-1888
1101 Woodson Dr
Caldwell, TX 77836
Phone (409) 567-3245
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
100 W Cross St
Madisonville, TX 77864
Phone (409) 348-2631
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1114947603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 WALL ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787544534",
"telephone_number": "512-375-1275",
"fax_number": "512-873-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 WALL ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787544534",
"telephone_number": "512-375-1275",
"fax_number": "512-873-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONNIN",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A83665",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "L7817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A836650",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "311355701",
"state": "TX"
}
],
"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 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.