Active NPI
Dana Kirk, PAC
- Physician Assistant
- Austin, TX
National Provider Identifier
1598972457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06893
- Practice address
- 300 Beardsley LN
Suite C-101
Austin, TX 78746-4945 - Phone
- (512) 327-5337
- Fax
- (512) 302-1213
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06893 | TX | Primary |
Addresses
Primary practice location
300 Beardsley LN
Suite C-101
Austin, TX 78746-4945
Mailing address
300 Beardsley LN
Suite C-101
Austin, TX 78746-4945
Phone (512) 327-5337
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 |
|---|---|---|---|
| PA06893 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1598972457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BEARDSLEY LN",
"address_2": "SUITE C-101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787464945",
"telephone_number": "512-327-5337",
"fax_number": "512-302-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BEARDSLEY LN",
"address_2": "SUITE C-101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787464945",
"telephone_number": "512-327-5337",
"fax_number": "512-302-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "DANA",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.