Individual provider Active NPI

Audra Louise Ochsner, M. D.

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1215916879
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K8669 Issued in TX
Practice address
3611 Paesanos Pkwy Ste 105
San Antonio, TX 78231-1250
Phone
(210) 447-7947
Fax
(210) 615-6966
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X K8669 TX Primary

Addresses

Primary practice location

3611 Paesanos Pkwy Ste 105
San Antonio, TX 78231-1250

Mailing address

3611 Paesanos Pkwy Ste 105
San Antonio, TX 78231-1250
Phone (210) 447-7947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2013 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K8669TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawna M Deeves MD Psychiatry Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1215916879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 PAESANOS PKWY STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311250",
            "telephone_number": "210-447-7947",
            "fax_number": "210-615-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 PAESANOS PKWY STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311250",
            "telephone_number": "210-447-7947",
            "fax_number": "210-615-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHSNER",
        "first_name": "AUDRA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K8669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.