Individual provider Active NPI

Annika Krupp, PNP

  • Pediatric Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1366083727
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP143368 Issued in TX
Practice address
7200 Wyoming Springs Dr Ste 200
Round Rock, TX 78681-4304
Phone
(512) 244-5959
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP143368 TX Primary

Addresses

Primary practice location

7200 Wyoming Springs Dr Ste 200
Round Rock, TX 78681-4304

Mailing address

2931 Grand Oaks Loop
Cedar Park, TX 78613-4361
Phone (512) 694-9367

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Centricity Health Information Exchange (HIE)

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP143368TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jolet Patil and Rimer Pediatrics PA Past Accepting new patients
Austin Health Partners PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11316/brand/5/csg/1/fhir/r4
  • Direct secure messaging: annika.krupp.1@11316.direct.athenahealth.com

Organizations & group practices 2

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1366083727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 GRAND OAKS LOOP",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134361",
            "telephone_number": "512-694-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPRINGS DR STE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814304",
            "telephone_number": "512-244-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPP",
        "first_name": "ANNIKA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP143368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Centricity",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7200 Wyoming Springs Dr Ste 200",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786814304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.