Individual provider Active NPI

Dawn Bridgit Hollembeak, FNP, APRN-BC

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1265659783
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP113876 Issued in TX
Practice address
2610 Lake Austin Blvd
Austin, TX 78703-4429
Phone
(866) 389-2727
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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 AP113876 TX Primary

Addresses

Primary practice location

2610 Lake Austin Blvd
Austin, TX 78703-4429

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
I20091111000100 TX Practitioner - Nurse Practitioner 9234277369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
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
AP113876TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zest Family Medicine PLLC Family CurrentSince Dec 9, 2019 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Aug 9, 2019 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Aug 9, 2019 Accepting new patients

Locations

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

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

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

1201 N Lakeline Blvd
Ste 400
Cedar Park, TX 78613
Phone (512) 379-7272

Networks

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

Organizations & group practices 3

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1265659783",
    "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": "2610 LAKE AUSTIN BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034429",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEMBEAK",
        "first_name": "DAWN",
        "middle_name": "BRIDGIT",
        "name_prefix": "Miss",
        "credential": "FNP, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP113876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.