Individual provider Active NPI

Amy Herrin Kowalski, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1346550597
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
760893 Issued in TX
Practice address
2301 W North Loop Blvd
Austin, TX 78756-2326
Phone
(512) 452-2506
Fax
(512) 371-0187
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 760893 TX Primary

Addresses

Primary practice location

2301 W North Loop Blvd
Austin, TX 78756-2326

Mailing address

2301 W North Loop Blvd
Austin, TX 78756-2326
Phone (512) 452-2506

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
I20120822000751 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 8123275310 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Diagnostic Clinic CurrentSince Sep 29, 2014 Accepting new patients
Austin Diagnostic Clinic, PA CurrentSince Sep 29, 2014 Accepting new patients
The Austin Diagnostic Clinic, PLLC Current Accepting new patients

Locations

4315 James Casey St
Austin, TX 78745
Phone (512) 460-3404

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1346550597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W NORTH LOOP BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562326",
            "telephone_number": "512-452-2506",
            "fax_number": "512-371-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W NORTH LOOP BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562326",
            "telephone_number": "512-452-2506",
            "fax_number": "512-371-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "AMY",
        "middle_name": "HERRIN",
        "name_prefix": "Mrs.",
        "credential": "ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "760893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.