Individual provider Active NPI

Cynthia B Stewart, NP

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1295207033
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1000188 Issued in TX
Practice address
101 W Koenig LN
Austin, TX 78751-1272
Phone
(833) 937-5463
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN01976 RI
Gerontology Nurse Practitioner 363LG0600X APRN01976 RI
Nurse Practitioner 363L00000X 1000188 TX Primary

Addresses

Primary practice location

101 W Koenig LN
Austin, TX 78751-1272

Mailing address

101 W Koenig LN
Austin, TX 78751-1272
Phone (833) 937-5463

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
I20241025002117 TX Practitioner - Nurse Practitioner 5991043507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1000188TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Action Current Accepting new patients
Texas Health Action CurrentSince Jul 20, 2024 Accepting new patients

Locations

101 W Koenig Ln
Unit 300
Austin, TX 78751
Phone (512) 565-7750

2800 S Interstate 35
Ste 215
Austin, TX 78704
Phone (512) 330-9444

2800 S Interstate 35
Ste 103
Austin, TX 78704
Phone (512) 826-0773

101 W Koenig Ln
Unit 100
Austin, TX 78751
Phone (512) 454-9426

3802 Cedar Springs Rd
Ste 110
Dallas, TX 75219
Phone (512) 853-9547

730 Isom Rd
Ste 104
San Antonio, TX 78216
Phone (512) 853-9547

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15777/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cynthia.stewart.1@15777.direct.athenahealth.com

Organizations & group practices 2

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1295207033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W KOENIG LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511272",
            "telephone_number": "833-937-5463",
            "fax_number": "917-720-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KOENIG LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511272",
            "telephone_number": "833-937-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CYNTHIA",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN01976",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "RI",
            "license": "APRN01976",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1000188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.