Kelly Weir, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

207268 Issued in TX

Practice address

520 Dennis Dr
Round Rock, TX 78664-3054

Phone

(512) 517-1201

NPI assigned

Feb 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Hardy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Atx Surgical Assistants, LLC

  • Surgical Physician Assistant
  • Austin, TX
  • NPI 1821621079
  NPD (past)

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1336894450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 DENNIS DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643054",
            "telephone_number": "512-517-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 DENNIS DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643054",
            "telephone_number": "512-517-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "207268",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "207268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HARDY",
            "credential": "CSFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Webster
• Li-Hsing Wei, DPT
• Kristina E. Weich, RDN
• Leslie Weinfeld, MAHS, LPC
• Danya Weinheimer
• Jacqueline Weiss
• Katherine Reynolds Weitl
• Joshua Welch, PHARMD
• Teena Welch, LMT, MTI, CEPROVIDER
• Brandi Weldon, CD

• Surgical Assistant in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.