Individual provider Active NPI

Reenu Sajan

  • Family Nurse Practitioner
  • Lakeway, TX
National Provider Identifier
1295492650
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1089083 Issued in TX
Practice address
4 Lakeway Centre CT Ste a
Lakeway, TX 78734-2757
Phone
(512) 610-3110
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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 1089083 TX Primary

Addresses

Primary practice location

4 Lakeway Centre CT Ste a
Lakeway, TX 78734-2757

Mailing address

4 Lakeway Centre CT Ste a
Lakeway, TX 78734-2757
Phone (512) 610-3110

Other practice location 1

100 Medical Pkwy
Lakeway, TX 78738-5621
Phone (512) 654-5200

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
I20230601002168 TX Practitioner - Nurse Practitioner 5890152144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Country Allergy and Asthma PLLCGroup PAC ID 8426295908, 5 clinicians

Practice addresses (Care Compare)

4 Lakeway Centre CT
Suite a
Lakeway, TX 78734-2757
Phone (512) 601-3110

800 Crystal Falls Pkwy
Unit 3
Leander, TX 78641-3669
Phone (512) 610-3110

800 W Hwy 290
Suite 200
Dripping Springs, TX 78620-4493
Phone (512) 610-3110

801 Steve Hawkins Pkwy
Suite 200
Marble Falls, TX 78654-6303
Phone (512) 610-3110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Allergy & Asthma, PLLC CurrentSince May 8, 2023 Accepting new patients

Locations

800 W Highway 290
Ste 200
Dripping Springs, TX 78620
Phone (512) 368-4548

4 Lakeway Centre Ct
Ste A
Lakeway, TX 78734
Phone (512) 610-3110

801 Steve Hawkins Pkwy
Ste 100
Marble Falls, TX 78654
Phone (512) 339-4040

Organizations & group practices 1

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": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1295492650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAKEWAY CENTRE CT STE A",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787342757",
            "telephone_number": "512-610-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAKEWAY CENTRE CT STE A",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787342757",
            "telephone_number": "512-610-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "787385621",
            "country_code": "US",
            "telephone_number": "512-654-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAJAN",
        "first_name": "REENU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1089083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.