Active NPI
Blair Kuecker, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Kyle, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP128958
- Practice address
- 4100 Everett Ste 400
Kyle, TX 78640-6147 - Phone
- (512) 295-1333
- Fax
- (512) 406-7327
- NPI assigned
- Nov 9, 2015
- Last updated
- Dec 10, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024182528 | VA | |
| Family Nurse Practitioner | 363LF0000X | 201508620NP-PP | OR | |
| Family Nurse Practitioner | 363LF0000X | AP128958 | TX | Primary |
Addresses
Primary practice location
4100 Everett Ste 400
Kyle, TX 78640-6147
Mailing address
6210 E Hwy 290 Ste 420
Austin, TX 78723-1142
Other names 1
- Blair Owens
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4100 Everett
400 Arc Kyle
Kyle, TX 78640-6147
Phone (512) 295-1333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201508620NP-PP | OR | MD | Family Nurse Practitioner |
| AP128958 | TX | MD | Family Nurse Practitioner |
| 0024182528 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Austin Family Practice Clinic, PLLC | Current | Accepting new patients | |
| Austin Regional Clinic, PA | Current | Accepting new patients | |
| Austin Regional Clinic, PA | Current | Accepting new patients |
Locations
5625 Eiger Rd
Ste 2
Austin, TX 78735
5625 Eiger Rd
Ste 200
Austin, TX 78735
6210 E Highway 290
Austin, TX 78723
6210 E Highway 290
Ste 420
Austin, TX 78723
Phone (512) 338-3802
6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210
12600 Hill Country Blvd
Bldg R-103
Bee Cave, TX 78738
Phone (512) 358-8180
151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244
4100 Everett
Ste 400
Kyle, TX 78640
Phone (512) 295-1333
Interoperability endpoints
- bkuecker34865@arcmd.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Austin, TX
- NPI 1821157579
-
- Family Medicine Physician
- Austin, TX
- NPI 1235130592
-
dba ARC- Center Street
- Durable Medical Equipment & Medical Supplies
- Kyle, TX
- NPI 1235746413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1316310600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 E HWY 290 STE 420",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 EVERETT STE 400",
"city": "KYLE",
"state": "TX",
"postal_code": "786406147",
"telephone_number": "512-295-1333",
"fax_number": "512-406-7327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUECKER",
"first_name": "BLAIR",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-09",
"last_updated": "2024-12-10",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024182528",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201508620NP-PP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP128958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BLAIR",
"last_name": "OWENS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.