Individual provider Active NPI

Azaret Villeda

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1538824412
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1057784 Issued in TX
Practice address
6500 N Mopac Expy Ste 2
Austin, TX 78731-3282
Phone
(512) 963-0943
NPI assigned
Nov 4, 2021
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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 1057784 TX Primary

Addresses

Primary practice location

6500 N Mopac Expy Ste 2
Austin, TX 78731-3282

Mailing address

11413 Sprinkle Cutoff Rd
Austin, TX 78754-5410
Phone (512) 963-0943

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
I20211129002215 TX Practitioner - Nurse Practitioner 2961892393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6500 N Mopac Expressway
BLDG 3 Suite 200
Austin, TX 78731-4309
Phone (512) 458-8400

Merit-based Incentive Payment System (MIPS)

Final score
75.33 of 100Reported as group
Quality
65.64
Promoting interoperability
76
Improvement activities
40
Cost
72.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1057784TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Diabetes and Endocrinology, P.a. Single Specialty CurrentSince Nov 29, 2021 Accepting new patients
Texas Diabetes and Endocrinology PA Single Specialty PastSince Nov 29, 2021 Accepting new patients

Locations

6500 N Mopac Expy
Bldg 3
Austin, TX 78731
Phone (512) 458-8400

110 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 458-8400

Organizations & group practices 2

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": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1538824412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11413 SPRINKLE CUTOFF RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545410",
            "telephone_number": "512-963-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N MOPAC EXPY STE 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313282",
            "telephone_number": "512-963-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEDA",
        "first_name": "AZARET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1057784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.