Individual provider Active NPI

Jenna O'Brien, FNP-C

  • Family Nurse Practitioner
  • West Lake Hills, TX
National Provider Identifier
1578017869
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131639 Issued in TX
Practice address
4201 Bee Caves Rd Ste B200
West Lake Hills, TX 78746-6458
Phone
(512) 478-9845
NPI assigned
Aug 4, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AP131639 TX Primary

Addresses

Primary practice location

4201 Bee Caves Rd Ste B200
West Lake Hills, TX 78746-6458

Mailing address

15821 Spillman Ranch Loop
Austin, TX 78738-6573
Phone (717) 319-1123

Other practice location 1

598 E Highway 290
Dripping Springs, TX 78620-5482
Phone (512) 858-0011

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP131639TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Pediatrics PLLC Past Accepting new patients

Organizations & group practices 1

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578017869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 SPILLMAN RANCH LOOP",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386573",
            "telephone_number": "717-319-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD STE B200",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466458",
            "telephone_number": "512-478-9845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "598 E Highway 290",
            "address_purpose": "LOCATION",
            "city": "Dripping Springs",
            "state": "TX",
            "postal_code": "786205482",
            "country_code": "US",
            "telephone_number": "512-858-0011",
            "fax_number": "512-858-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JENNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.