Individual provider Active NPI

Ariana Bradley, NP

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1346842622
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP145439 Issued in TX
Practice address
11207B N Lamar Blvd
Austin, TX 78753-3056
Phone
(512) 906-0168
Fax
(512) 906-0158
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP145439 TX Primary

Addresses

Primary practice location

11207B N Lamar Blvd
Austin, TX 78753-3056

Mailing address

11207 N Lamar Blvd Ste B
Austin, TX 78753-3056
Phone (512) 906-0168

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
I20201201002407 TX Practitioner - Nurse Practitioner 0648681304 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP145439TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Austin Family Practice Clinic, PLLC CurrentSince May 16, 2022 Accepting new patients
Central Texas Community Health Centers CurrentSince Jul 25, 2025 Accepting new patients
Central Texas Community Health Centers CurrentSince Jul 25, 2025 Accepting new patients
Yun W Kim, MD, PA CurrentSince Nov 1, 2020 Accepting new patients
Central Texas Community Health Centers Past Accepting new patients

Locations

11207 N Lamar Blvd
Ste B
Austin, TX 78753
Phone (512) 649-2195

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

5015 S Interstate 35
Ste 200
Austin, TX 78744
Phone (512) 804-3200

5625 Eiger Rd
Ste 200
Austin, TX 78735

5625 Eiger Rd
Ste 2
Austin, TX 78735

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

3101 Highway 71 E
Ste 101
Bastrop, TX 78602
Phone (512) 304-0300

912 S Capital of Texas Hwy
Ste 100
West Lake Hills, TX 78746
Phone (512) 306-8360

Organizations & group practices 5

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1346842622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11207 N LAMAR BLVD STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533056",
            "telephone_number": "512-906-0168",
            "fax_number": "512-906-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11207B N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533056",
            "telephone_number": "512-906-0168",
            "fax_number": "512-906-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ARIANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP145439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.