Individual provider Active NPI

Sally Dyan Reese, PMHNP-BC, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1538463559
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP13118 Issued in TX
Practice address
630 W 34TH St Ste 301
Austin, TX 78705-1217
Phone
(512) 212-4670
Fax
(512) 233-5830
NPI assigned
Jan 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP119703 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP13118 TX Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X AP13118 TX

Addresses

Primary practice location

630 W 34TH St Ste 301
Austin, TX 78705-1217

Mailing address

630 W 34TH St Ste 301
Austin, TX 78705-1217
Phone (512) 212-4670

Other practice location 1

13830 Sawyer Ranch Rd Ste 301
Dripping Springs, TX 78620-5514
Phone (512) 212-4670

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
I20140225001058 TX Practitioner - Nurse Practitioner 8224268925 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at San Antonio, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Health and WellnessGroup PAC ID 0143215954, 12 clinicians

Practice addresses (Care Compare)

9850 C Emmett F Lowry Expy
Suite C103
Texas City, TX 77591-2122
Phone (409) 938-2234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP119703TXMDFamily Nurse Practitioner
AP13118TXMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Concho Valley Center for Human Advancement CurrentSince Mar 6, 2024 Accepting new patients
Coastal Health & Wellness CurrentSince Apr 4, 2024 Accepting new patients
Concho Valley Center for Human Advancement CurrentSince Mar 6, 2024 Accepting new patients
Coastal Health & Wellness Current Accepting new patients
Aline C Zeringue Acns-BC, PLLC CurrentSince Jun 20, 2017 Accepting new patients
RC Raley Professional Association PastSince Apr 9, 2024 Accepting new patients
Coastal Health & Wellness Past Accepting new patients

Locations

807 Stark St
Austin, TX 78756
Phone (512) 452-2506

4700 Broadway St
Ste 100
Galveston, TX 77551
Phone (409) 763-7204

1501 W Beauregard Ave
San Angelo, TX 76901
Phone (325) 658-7750

9850 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-2230

9850 Emmett F Lowry Expy
Ste C103
Texas City, TX 77591
Phone (409) 938-2234

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1538463559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 34TH ST STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051217",
            "telephone_number": "512-212-4670",
            "fax_number": "512-233-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 34TH ST STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051217",
            "telephone_number": "512-212-4670",
            "fax_number": "512-233-5830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13830 Sawyer Ranch Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Dripping Springs",
            "state": "TX",
            "postal_code": "786205514",
            "country_code": "US",
            "telephone_number": "512-212-4670",
            "fax_number": "512-233-5830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "SALLY",
        "middle_name": "DYAN",
        "credential": "PMHNP-BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP119703",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP13118",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP13118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.