Individual provider Active NPI

Jennifer Laessig, CNS

  • Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1225869274
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
1085227 Issued in TX
Practice address
3215 Steck Ave Ste 200
Austin, TX 78757-8060
Phone
(512) 476-3556
Fax
(512) 476-0195
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 1085227 TX Primary

Addresses

Primary practice location

3215 Steck Ave Ste 200
Austin, TX 78757-8060

Mailing address

3215 Steck Ave Ste 200
Austin, TX 78757-8060
Phone (512) 476-3556

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822001356 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 0749729788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Adults Specialty Healthcare PA Clinical Nurse Specialist CurrentSince Aug 9, 2024 Accepting new patients

Locations

3215 Steck Ave
Ste 200
Austin, TX 78757
Phone (512) 476-3556

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1225869274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 STECK AVE STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578060",
            "telephone_number": "512-476-3556",
            "fax_number": "512-476-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 STECK AVE STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578060",
            "telephone_number": "512-476-3556",
            "fax_number": "512-476-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAESSIG",
        "first_name": "JENNIFER",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "1085227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.