Individual provider Active NPI

Adrienne Diraddo Feehan

  • Psychiatric/Mental Health Nurse Practitioner
  • West Lake Hills, TX
National Provider Identifier
1215335187
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP127076 Issued in TX
Practice address
4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406
Phone
(512) 469-0535
NPI assigned
Dec 9, 2014
Last updated
May 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP127076 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP127076 TX Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X AP127076 TX

Addresses

Primary practice location

4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406

Mailing address

4407 Bee Caves Rd Ste 422
West Lake Hills, TX 78746-6406
Phone (512) 469-0535

Other practice location 1

6600 E. Ben White Blvd
Austin, TX 78741
Phone (512) 472-4357

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP127076TXMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Wellness CurrentSince May 17, 2020 Accepting new patients
Ethos Prism, LLC PastSince May 17, 2020 Accepting new patients

Locations

4407 Bee Caves Rd
Ste 422
West Lake Hills, TX 78746
Phone (512) 469-0535

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1215335187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 422",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466406",
            "telephone_number": "512-469-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 422",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466406",
            "telephone_number": "512-469-0535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 E. Ben White Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78741",
            "country_code": "US",
            "telephone_number": "512-472-4357",
            "fax_number": "512-703-1394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEEHAN",
        "first_name": "ADRIENNE",
        "middle_name": "DIRADDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP127076",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP127076",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP127076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.