Individual provider Active NPI

Karin S Fagner, NP

  • Adult Health Nurse Practitioner
  • Lago Vista, TX
National Provider Identifier
1356423842
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
644886 Issued in TX
Practice address
3500 Lohmans Ford Rd
Unit 25
Lago Vista, TX 78645-8031
Phone
(512) 917-1109
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 644886 TX Primary
Adult Health Nurse Practitioner 363LA2200X AP108390 TX

Addresses

Primary practice location

3500 Lohmans Ford Rd
Unit 25
Lago Vista, TX 78645-8031

Mailing address

PO Box 500174
Austin, TX 78750-0174
Phone (512) 250-9140

Other identifiers 1

IdentifierTypeStateIssuer
088304304MedicaidTX

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP108390TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Doctor Is at Your Door PA PastSince Nov 2, 2005 Accepting new patients
Compassionate Care Counseling, LLC PastSince Dec 3, 2023 Accepting new patients
Karin Fagner NP PLLC Adult Health Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDFHBD

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1356423842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500174",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787500174",
            "telephone_number": "512-250-9140",
            "fax_number": "512-250-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LOHMANS FORD RD",
            "address_2": "UNIT 25",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786458031",
            "telephone_number": "512-917-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGNER",
        "first_name": "KARIN",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "644886",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP108390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088304304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lago Vista, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.