Individual provider Active NPI

Katarzyna Kundera Byrd

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1366094187
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109101 Issued in TX
Practice address
2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Phone
(720) 515-4244
Fax
(720) 441-0448
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW15620 FL
Clinical Social Worker 1041C0700X 109101 TX Primary

Addresses

Primary practice location

2021 Guadalupe St Ste 260
Austin, TX 78705-5654

Mailing address

1777 S Bellaire St Ste 390
Denver, CO 80222-4350
Phone (720) 515-4244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, CO, MA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200217002640 FL Practitioner - Clinical Social Worker 1153758982 Reassigns benefits to 1 organization
I20240822001671 TX Practitioner - Clinical Social Worker 1153758982 Reassigns benefits to 1 organization
I20241004002803 CO Practitioner - Clinical Social Worker 1153758982 Reassigns benefits to 1 organization
I20260601003917 MA Practitioner - Clinical Social Worker 1153758982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Therapy & Assessment Center CurrentSince Jul 22, 2024 Accepting new patients

Locations

1777 S Bellaire St
Ste 390
Denver, CO 80222
Phone (720) 515-4244

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1366094187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S BELLAIRE ST STE 390",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224350",
            "telephone_number": "720-515-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 GUADALUPE ST STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787055654",
            "telephone_number": "720-515-4244",
            "fax_number": "720-441-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDERA BYRD",
        "first_name": "KATARZYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15620",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.