Individual provider Active NPI

Litty R Vadakkan, RN FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1477807774
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP122772 Issued in TX
Practice address
5301 Duval Rd
Ste a-500
Austin, TX 78727-6618
Phone
(512) 222-0000
Fax
(512) 222-0019
NPI assigned
Nov 8, 2012
Last updated
Jun 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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 AP122772 TX Primary

Addresses

Primary practice location

5301 Duval Rd
Ste a-500
Austin, TX 78727-6618

Mailing address

PO Box 170999
Austin, TX 78717-0038
Phone (512) 222-0000

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
I20130318000321 TX Practitioner - Nurse Practitioner 1951546183 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1000 Gattis School Rd
Suite 440
Round Rock, TX 78664-2569
Phone (512) 400-4025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health Medical Group LLC CurrentSince Jul 10, 2015 Accepting new patients
Prime Wound Care Clinic LLC CurrentSince Feb 2, 2026 Accepting new patients
Prime Telecare LLC Family CurrentSince Feb 1, 2021 Accepting new patients

Locations

5301 Duval Rd
Ste A500
Austin, TX 78727
Phone (512) 222-0000

2251 Bagdad Rd
Ste 102
Cedar Park, TX 78613
Phone (512) 740-8993

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22613/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: litty.vadakkan.1@22613.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1477807774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170999",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787170038",
            "telephone_number": "512-222-0000",
            "fax_number": "512-222-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 DUVAL RD",
            "address_2": "STE A-500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276618",
            "telephone_number": "512-222-0000",
            "fax_number": "512-222-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADAKKAN",
        "first_name": "LITTY",
        "middle_name": "R",
        "credential": "RN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.