Active NPI
Katherine K Farady, MD
- Dermatology Physician
- Austin, TX
National Provider Identifier
1174522791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G9364
- Practice address
- 2700 W Anderson LN
Ste 403
Austin, TX 78757-1159 - Phone
- (512) 786-3498
- Fax
- (512) 243-7236
- NPI assigned
- Jul 15, 2005
- Last updated
- Mar 31, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G9364 | TX | Primary |
Addresses
Primary practice location
2700 W Anderson LN
Ste 403
Austin, TX 78757-1159
Mailing address
4919 Memorial Hwy Ste 150
Tampa, FL 33634-7516
Phone (813) 333-1512
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kfarady@dmp.emadirect.md | Health Information Exchange (HIE) |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balcones Dermatology Associates, PA | Dermatology | Past | Accepting new patients |
| Balcones Dermatology Associates, P.a. | Dermatology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dermatology Physician
- Austin, TX
- NPI 1407855646
-
- Dermatology Physician
- Austin, TX
- NPI 1629354956
-
- Dermatology Physician
- Austin, TX
- NPI 1699044800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1174522791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4919 MEMORIAL HWY STE 150",
"city": "TAMPA",
"state": "FL",
"postal_code": "336347516",
"telephone_number": "813-333-1512",
"fax_number": "813-333-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 W ANDERSON LN",
"address_2": "STE 403",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787571159",
"telephone_number": "512-786-3498",
"fax_number": "512-243-7236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARADY",
"first_name": "KATHERINE",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "G9364",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kfarady@dmp.emadirect.md",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2700 W Anderson Ln",
"address_2": "Ste 403",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787571159",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.