Active NPI
Paige Price, FNP
- Family Nurse Practitioner
- Austin, TX
National Provider Identifier
1306463161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1116573
- Practice address
- 2200 Park Bend Dr Ste 201
Austin, TX 78758-5388 - Phone
- (512) 879-1327
- NPI assigned
- Jun 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1116573 | TX | Primary |
Addresses
Primary practice location
2200 Park Bend Dr Ste 201
Austin, TX 78758-5388
Mailing address
2200 Park Bend Dr Ste 201
Austin, TX 78758-5388
Phone (512) 879-1327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500784124 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1116573 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- pprice20@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1306463161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 PARK BEND DR STE 201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585388",
"telephone_number": "512-879-1327",
"fax_number": "512-233-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PARK BEND DR STE 201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585388",
"telephone_number": "512-879-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "PAIGE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-28",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1116573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500784124",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.