Active NPI
Alyse Kathleen Paull, FNP-C
- Family Nurse Practitioner
- Leander, TX
National Provider Identifier
1568977635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP134284
- Practice address
- 709 S. Bagdad Rd
Leander, TX 78641 - Phone
- (512) 260-0101
- NPI assigned
- Dec 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP134284 | TX | Primary |
Addresses
Primary practice location
709 S. Bagdad Rd
Leander, TX 78641
Mailing address
104 Estima CT
Liberty Hill, TX 78642-4567
Phone (512) 636-2181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP134284 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512950400000",
"number": "1568977635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ESTIMA CT",
"city": "LIBERTY HILL",
"state": "TX",
"postal_code": "786424567",
"telephone_number": "512-636-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 S. BAGDAD RD",
"city": "LEANDER",
"state": "TX",
"postal_code": "78641",
"telephone_number": "512-260-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULL",
"first_name": "ALYSE",
"middle_name": "KATHLEEN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2017-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP134284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.