Individual provider Active NPI

Manuel Dakota Almklov, NP

  • Gerontology Nurse Practitioner
  • Kyle, TX
National Provider Identifier
1609704105
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1216967 Issued in TX
Practice address
5980 Kyle Pkwy
Kyle, TX 78640-2400
Phone
(512) 262-0821
NPI assigned
May 13, 2026
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1216967 TX
Adult Health Nurse Practitioner 363LA2200X 1216967 TX
Gerontology Nurse Practitioner 363LG0600X 1216967 TX Primary

Addresses

Primary practice location

5980 Kyle Pkwy
Kyle, TX 78640-2400

Mailing address

669 Sugar Cane Rd
Buda, TX 78610-4246
Phone (915) 328-2049

Other practice location 1

669 Sugar Cane Rd
Buda, TX 78610-4246
Phone (915) 328-2049

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
I20260605000413 TX Practitioner - Nurse Practitioner 4284105776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

208 Bella Colinas Dr
Austin, TX 78738-7631

4495 Wandering Vine TRL
Round Rock, TX 78665-1266

669 Sugar Cane Rd
Buda, TX 78610-4246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1216967TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Martin Medical Consulting LLC CurrentSince May 1, 2026 Accepting new patients
Aco Jason Martin Medical Consulting CurrentSince May 1, 2026 Accepting new patients

Locations

5980 Kyle Pkwy
Kyle, TX 78640
Phone (512) 262-0821

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, 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": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1609704105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 SUGAR CANE RD",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786104246",
            "telephone_number": "915-328-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 KYLE PKWY",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402400",
            "telephone_number": "512-262-0821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "669 Sugar Cane Rd",
            "address_purpose": "LOCATION",
            "city": "Buda",
            "state": "TX",
            "postal_code": "786104246",
            "country_code": "US",
            "telephone_number": "915-328-2049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALMKLOV",
        "first_name": "MANUEL",
        "middle_name": "DAKOTA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1216967",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1216967",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1216967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.