Katelyn Joy O'Brien, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14272 Issued in TX

Practice address

1015 W 39TH 1/2 St
Austin, TX 78756-4005

Phone

(512) 377-9042

NPI assigned

Apr 15, 2021

Last updated

Sep 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Iconiq Spine & Orthopaedic Center PLLC

  dba Holistiq Spine & Orthopaedic Clinic

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1982440426
  NPD (past)
• Quantum Interventional Sports and Spine Medicine

  • Interventional Pain Medicine Physician
  • Irving, TX
  • NPI 1235611666
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1265013841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 GAMBEL RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783440",
            "telephone_number": "903-240-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W 39TH 1/2 ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564005",
            "telephone_number": "512-377-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KATELYN",
        "middle_name": "JOY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• O C Medical Supply Inc
• Gabrielle Ann O Gallardo, APRN PMHNP-BC
• O. B. Jackson, Jr.,MD, PA
• Barbara A O'Brien, M.A.
• Juliana Helen O'Brien, LCSW
• Marcia Lea O'Brien, MSN, APRN, NP-C
• Marian 'Micki' D. O'Brien, M.ED.,, L.P.C.
• Owen M. O'Brien, LMSW
• Richard E O'Brien, P.A.
• Seth D. O'Brien, M.D.

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.