Individual provider Active NPI

Alebachew Kindie, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1538601075
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP132525 Issued in TX
Practice address
311 Camden St.
Suite 510
San Antonio, TX 78215
Phone
(210) 591-1615
Fax
(210) 591-1635
NPI assigned
Nov 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 833522 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP132525 TX Primary

Addresses

Primary practice location

311 Camden St.
Suite 510
San Antonio, TX 78215

Mailing address

311 Camden St.
Suite 510
San Antonio, TX 78215
Phone (210) 591-1615

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
I20161222000737 TX Practitioner - Nurse Practitioner 9739460106 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
833522TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Nov 17, 2024 Accepting new patients
US Televero Health PA Psychiatric/Mental Health CurrentSince May 6, 2024 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Health and Human Services Commission CurrentSince Nov 17, 2024 Accepting new patients

Locations

6101 W Courtyard Dr
Ste 2-225
Austin, TX 78730
Phone (877) 474-0155

6711 S New Braunfels Ave
Ste 1
San Antonio, TX 78223
Phone (210) 532-8811

6711 S New Braunfels Ave
Ste 100
San Antonio, TX 78223
Phone (210) 531-7805

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1538601075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST.",
            "address_2": "SUITE 510",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78215",
            "telephone_number": "210-591-1615",
            "fax_number": "210-591-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST.",
            "address_2": "SUITE 510",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78215",
            "telephone_number": "210-591-1615",
            "fax_number": "210-591-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDIE",
        "first_name": "ALEBACHEW",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "833522",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.