KSP Health PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KSP HEALTH PLLC

Practice address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Phone

(316) 516-2853

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Manjula Muthukumar

Title

Director

Phone

(316) 516-2853

Specialties & licenses 1

Addresses

Other names 1

• KSP HEALTH Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Paul Dodd, P.A.

  • Physician Assistant
  • Midland, TX
  • NPI 1598976011
  NPD (past)
• Chyanne Dix, APRN

  • Family Nurse Practitioner
  • Bryn Mawr, PA
  • NPI 1811508567
  NPD (past)
• Jesse James Harvey, P.A.

  • Medical Physician Assistant
  • Las Vegas, NV
  • NPI 1942209119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1316657604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 E CENTRAL AVE STE 183",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "316-516-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSP HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "MUTHUKUMAR",
        "authorized_official_first_name": "MANJULA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "316-516-2853",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KSP HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Alison Kruse, M.ED, BCBA
• Krych Inc.
• Steven M. Krych, D.P.M.
• Veronika Krylova
• Krystal Felan Counseling
• KTL Behavioral Therapy & Consultation PLLC
• KTS Hospice Inc
• Annie H Ku, OD
• Tsao-Chuen Ku, DMD
• Audrey Kuang, MD

• Pediatrics Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.