Active NPI
Kylin Marisa Fleischmann, ATP
- Other Technician
- Dripping Springs, TX
National Provider Identifier
1326704933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 91807
- Practice address
- 16746 Fitzhugh Rd Ste 103
Dripping Springs, TX 78620-5462 - Phone
- (512) 846-3155
- NPI assigned
- Nov 9, 2021
- Last updated
- Nov 9, 2021
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 91807 | TX | Primary |
Addresses
Primary practice location
16746 Fitzhugh Rd Ste 103
Dripping Springs, TX 78620-5462
Mailing address
764 San Luis
New Braunfels, TX 78132-2895
Phone (303) 217-3578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91807 | Other | TX | ATP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skilled Mobility, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Skilled Mobility
- Customized Equipment (DME)
- Lake Jackson, TX
- NPI 1306313283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1326704933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 SAN LUIS",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781322895",
"telephone_number": "303-217-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16746 FITZHUGH RD STE 103",
"city": "DRIPPING SPRINGS",
"state": "TX",
"postal_code": "786205462",
"telephone_number": "512-846-3155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISCHMANN",
"first_name": "KYLIN",
"middle_name": "MARISA",
"credential": "ATP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "TX",
"license": "91807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATP",
"identifier": "91807",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dripping Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.