Individual provider Active NPI

Karri Ann Lusk, PSY.D.

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1619248416
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34702 Issued in TX
Practice address
255 E Sonterra Blvd Ste 119
San Antonio, TX 78258-4075
Phone
(210) 447-6363
Fax
(210) 447-6364
NPI assigned
Jan 25, 2012
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 34702 TX Primary
Clinical Psychologist 103TC0700X 34702 TX

Addresses

Primary practice location

255 E Sonterra Blvd Ste 119
San Antonio, TX 78258-4075

Mailing address

255 E Sonterra Blvd Ste 119
San Antonio, TX 78258-4075
Phone (210) 447-6363

Other identifiers 1

IdentifierTypeStateIssuer
351455602MedicaidTX

Other names 1

  • Dr. Karri Zumwalt Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121019000145 TX Practitioner - Clinical Psychologist 5991955452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Algos Behavioral Health Services IncGroup PAC ID 2961743158, 3 clinicians

Practice addresses (Care Compare)

255 E Sonterra Blvd
Suite 119
San Antonio, TX 78258-4075

255 E Sonterra Blvd
Suite 119
San Antonio, TX 78258-4076
Phone (210) 447-6363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1619248416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E SONTERRA BLVD STE 119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584075",
            "telephone_number": "210-447-6363",
            "fax_number": "210-447-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E SONTERRA BLVD STE 119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584075",
            "telephone_number": "210-447-6363",
            "fax_number": "210-447-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "KARRI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34702",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34702",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351455602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARRI",
            "last_name": "ZUMWALT",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.