Organization Active NPI

Showpathway Mental and Wellness Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1427827989
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SHOWPATHWAY MENTAL AND WELLNESS SERVICES PLLC
Practice address
5900 Balcones Dr # 17066
Austin, TX 78731-4257
Phone
(406) 296-6469
Fax
(832) 862-3414
NPI assigned
Dec 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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

Authorized official

Name
Yetunde Fadeyibi, APRN/ PMHNP
Title
Nurse Practitioner
Phone
(406) 296-6469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5900 Balcones Dr # 17066
Austin, TX 78731-4257

Mailing address

5900 Balcones Dr # 17066
Austin, TX 78731-4257
Phone (406) 296-6469

Other practice location 1

28615 Hannahs Harbor Ln
Katy, TX 77494-2269
Phone (832) 929-3920

National Provider Directory

National Provider Directory

Locations

5900 Balcones Dr
Ste 17066
Austin, TX 78731
Phone (406) 296-6469

5900 Balcones Dr
#17066
Austin, TX 78731
Phone (406) 296-6469

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708214400000",
    "number": "1427827989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR # 17066",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "406-296-6469",
            "fax_number": "832-862-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR # 17066",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "406-296-6469",
            "fax_number": "832-862-3414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28615 Hannahs Harbor Ln",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774942269",
            "country_code": "US",
            "telephone_number": "832-929-3920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHOWPATHWAY MENTAL AND WELLNESS SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A",
        "authorized_official_last_name": "FADEYIBI",
        "authorized_official_first_name": "YETUNDE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "406-296-6469",
        "authorized_official_credential": "APRN/ PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2024; 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.