Individual provider Active NPI

Kathleen Dailey Forr

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1245889203
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142094 Issued in TX
Practice address
11300 N Lamar Blvd
Austin, TX 78753-2665
Phone
(866) 389-2727
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142094 TX Primary

Addresses

Primary practice location

11300 N Lamar Blvd
Austin, TX 78753-2665

Mailing address

2610 Lake Austin Blvd
Austin, TX 78703-4429

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
I20211201001056 TX Practitioner - Nurse Practitioner 8426448770 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Texas PLLCGroup PAC ID 7416039177, 253 clinicians

Practice addresses (Care Compare)

2610 Lake Austin Blvd
Austin, TX 78703-4429
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142094TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group CurrentSince Oct 11, 2021 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Apr 27, 2022 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Apr 6, 2024 Accepting new patients
Dell Children'S Medical Group CurrentSince Oct 11, 2021 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Apr 27, 2022 Accepting new patients

Locations

1 Cvs Dr
#3040
Woonsocket, RI 02895

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

11300 N Lamar Blvd
Austin, TX 78753
Phone (512) 462-3820

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

2610 Lake Austin Blvd
Austin, TX 78703
Phone (512) 477-1261

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1245889203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 LAKE AUSTIN BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787532665",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORR",
        "first_name": "KATHLEEN",
        "middle_name": "DAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.