Individual provider Active NPI

Kimberly Catahan, NP

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1306536081
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1088562 Issued in TX
Practice address
1802 Blue Crest Dr Unit B
Austin, TX 78704-4018
Phone
(650) 307-0353
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1088562 TX Primary

Addresses

Primary practice location

1802 Blue Crest Dr Unit B
Austin, TX 78704-4018

Mailing address

1802 Blue Crest Dr Unit B
Austin, TX 78704-4018
Phone (650) 307-0353

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
I20231009001361 TX Practitioner - Nurse Practitioner 7113372343 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1088562TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jul 17, 2023 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Seton Family of Doctors CurrentSince Jul 17, 2023 Accepting new patients

Locations

1601 Trinity St
Ste 9901S
Austin, TX 78712
Phone (512) 324-7831

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1306536081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 BLUE CREST DR UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044018",
            "telephone_number": "650-307-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BLUE CREST DR UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044018",
            "telephone_number": "650-307-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATAHAN",
        "first_name": "KIMBERLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1088562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.