Kathryn Clay Sampson, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

685442 Issued in TX

Practice address

502 Crystal Falls Pkwy
Suite B
Leander, TX 78641-1959

Phone

(512) 260-0101

Fax

(512) 260-0121

NPI assigned

Feb 15, 2011

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

Other names 1

• Kathryn Clay Scroggin Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryn.sampson@hca8.eclinicaldirectplus.com

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.

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  TX

  Medicare reassignment NPD
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  • Hospitalist Physician
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  • NPI 1972011658
  NPD
• The Austin Diagnostic Clinic, PLLC

  • Neurology Physician
  • Austin, TX
  • NPI 1265406466
  NPD
• The Austin Diagnostic Clinic, PLLC

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1104803816
  NPD (past)

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1285931998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CEDAR BEND DR",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585378",
            "telephone_number": "512-901-4031",
            "fax_number": "512-901-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 CRYSTAL FALLS PKWY",
            "address_2": "SUITE B",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786411959",
            "telephone_number": "512-260-0101",
            "fax_number": "512-260-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "KATHRYN",
        "middle_name": "CLAY",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "685442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KATHRYN.SAMPSON@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "502 Crystal Falls Pkwy",
            "address_2": "SUITE B",
            "city": "Leander",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786411959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "SCROGGIN",
            "middle_name": "CLAY",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Leander, TX
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.