Individual provider Active NPI

Kaeloni Ann Majd, NP

  • Acute Care Nurse Practitioner
  • Austin, TX
National Provider Identifier
1508514688
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1073040 Issued in TX
Practice address
1201 W 38TH St
Austin, TX 78705-1006
Phone
(512) 324-1000
NPI assigned
Mar 16, 2022
Last updated
Sep 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1073040 TX Primary
Nurse Practitioner 363L00000X 1073040 TX

Addresses

Primary practice location

1201 W 38TH St
Austin, TX 78705-1006

Mailing address

1614 Arcilla St
Austin, TX 78741-7312
Phone (630) 352-7787

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
I20220517001042 TX Practitioner - Nurse Practitioner 5991182776 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1073040TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Nurse Practitioner CurrentSince Apr 1, 2023 Accepting new patients
Elevate Wound Solutions, LLC CurrentSince Feb 17, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Nurse Practitioner CurrentSince Mar 15, 2022 Accepting new patients
Cogent Healthcare of Texas, PA Nurse Practitioner CurrentSince Mar 15, 2022 Accepting new patients

Locations

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

2006 S Bagdad Rd
Ste 180
Leander, TX 78641
Phone (214) 734-5327

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 4

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1508514688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 ARCILLA ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787417312",
            "telephone_number": "630-352-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W 38TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051006",
            "telephone_number": "512-324-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJD",
        "first_name": "KAELONI",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1073040",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1073040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.