Active NPI
Kayleigh Todd, NURSE PRACTITIONER
- Pediatric Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 838455
- Practice address
- 2500 Burleson Rd
Apt 316
Austin, TX 78741-5609 - Phone
- (540) 842-4472
- NPI assigned
- May 28, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 838455 | VA | Primary |
Addresses
Primary practice location
2500 Burleson Rd
Apt 316
Austin, TX 78741-5609
Mailing address
2500 Burleson Rd
Apt 316
Austin, TX 78741-5609
Phone (540) 842-4472
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 838455 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Longhorn Emergency Medical Associates PA | Current | Accepting new patients |
Locations
4900 Mueller Blvd
#2S
Austin, TX 78723
Phone (512) 324-3315
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
4910 Mueller Blvd
Ste 100
Austin, TX 78723
Phone (206) 543-3093
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Austin, TX
- NPI 1326072943
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1639558299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 BURLESON RD",
"address_2": "APT 316",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787415609",
"telephone_number": "540-842-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 BURLESON RD",
"address_2": "APT 316",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787415609",
"telephone_number": "540-842-4472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "KAYLEIGH",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "838455",
"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 May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.