Individual provider Active NPI

Kirby Reed, FNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1366418519
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
673504 Issued in TX
Practice address
500 Canyon Ridge Dr
Suite J350
Austin, TX 78753-1632
Phone
(512) 920-5256
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 673504 TX Primary

Addresses

Primary practice location

500 Canyon Ridge Dr
Suite J350
Austin, TX 78753-1632

Mailing address

120 Long Wood Ave
Lakeway, TX 78734-4650
Phone (512) 920-5256

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
I20041116000618 TX Practitioner - Nurse Practitioner 3476517806 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
92.78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
673504TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc CurrentSince Sep 27, 2016 Accepting new patients
Third Coast Emergency Physicians Southwest PA CurrentSince Jun 1, 2021 Accepting new patients
Bayside Emergency Physicians, LLP Past Accepting new patients
Emcare-Dtxemergency Physicians PLLC Past Accepting new patients
Westlake Complete Care LLC Past Accepting new patients
Ghep Corpus Christi PLLC Past Accepting new patients
Lakeway Era Acquistion Partners LLC Past Accepting new patients
Bayside Emergency Pyhsicians, LLP Past Accepting new patients
Abk Emergency Physicians PLLC Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12515/brand/6/csg/1/fhir/r4

Organizations & group practices 11

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1366418519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LONG WOOD AVE",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344650",
            "telephone_number": "512-920-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CANYON RIDGE DR",
            "address_2": "SUITE J350",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531632",
            "telephone_number": "512-920-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KIRBY",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "673504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.