Active NPI
Jenna O'Brien, FNP-C
- Family Nurse Practitioner
- West Lake Hills, TX
National Provider Identifier
1578017869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP131639
- 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, 2018
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP131639 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatrics Physician
- Coppell, TX
- NPI 1891427613
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.