Teresa Mai Klubak, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

600839 Issued in TX

Practice address

7700 Cat Hollow Dr Ste 104
Round Rock, TX 78681-5797

Phone

(512) 733-5437

Fax

(512) 244-1861

NPI assigned

Apr 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1548559172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 GALENA HILLS LOOP",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811055",
            "telephone_number": "512-415-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR STE 104",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815797",
            "telephone_number": "512-733-5437",
            "fax_number": "512-244-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUBAK",
        "first_name": "TERESA",
        "middle_name": "MAI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "600839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Kistenmacher, DDS
• William Thomas Kittleman, M.D.
• Elizabeth Urquhart Kleinschmidt, OT, CLT
• Elizabeth Allen Klekman, DPT
• Heather A Klicka, PTA
• Katriel Knackstedt
• Melinda Alice Knapp, PT, DPT
• KND Development 59, LLC (Specialty Hospitals Round Rock)
• Lesly Scot Knight, CHIROPRACTIC DC
• Stephanie B Knight, AGACNP-BC

• Family Nurse Practitioner in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.