Individual provider Active NPI

Danielle Kislin, APRN

  • Gerontology Nurse Practitioner
  • Austin, TX
National Provider Identifier
1609575604
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1111785 Issued in TX
Practice address
12731 Research Blvd Ste 200
Austin, TX 78759-4387
Phone
(512) 477-4088
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1111785 TX Primary

Addresses

Primary practice location

12731 Research Blvd Ste 200
Austin, TX 78759-4387

Mailing address

10103 Quail Hutch Dr
Austin, TX 78758-5553
Phone (512) 230-4751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230322002663 TX Practitioner - Nurse Practitioner 8123492741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Geriatric Specialists PLLC 59 clinicians
Powerback Rehabilitation LLC 600 clinicians

Practice addresses (Care Compare)

1108 Lavaca St
Suite 110 320
Austin, TX 78701-2172
Phone (512) 477-4088

12429 Scofield Farms Dr
Austin, TX 78758-2640
Phone (737) 932-6829

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, San Antonio, TX, CCN 679044
  • Accentcare Home Health of Texas Home health agency, Austin, TX, CCN 679120
  • St. David'S Healthcare at Home Home health agency, Austin, TX, CCN 679682
  • Robinson Creek Home Health and Hospice Home health agency, Austin, TX, CCN 677433
  • Halcyon Home LLC Home health agency, Austin, TX, CCN 747931
  • Hospice Austin Hospice, Austin, TX, CCN 451515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Geriatric Specialists, PLLC CurrentSince Mar 13, 2023 Accepting new patients
Hni Medical Services PastSince Mar 13, 2023 Accepting new patients

Locations

1108 Lavaca St
Ste 110320
Austin, TX 78701
Phone (512) 482-0390

11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: danielle.kislin.1@25850.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1609575604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 QUAIL HUTCH DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585553",
            "telephone_number": "512-230-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 RESEARCH BLVD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594387",
            "telephone_number": "512-477-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISLIN",
        "first_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1111785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.