Organization Active NPI

Peak Vascular Access, LLC

  • Nursing Care Agency
  • Austin, TX
National Provider Identifier
1639936990
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
PEAK VASCULAR ACCESS, LLC
Practice address
12101 Palisades Pkwy
Austin, TX 78732-1244
Phone
(512) 680-6619
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Tyler Payne
Title
Ceo/President
Phone
(512) 680-6619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

12101 Palisades Pkwy
Austin, TX 78732-1244

Mailing address

12101 Palisades Pkwy
Austin, TX 78732-1244
Phone (512) 680-6619

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1639936990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 PALISADES PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321244",
            "telephone_number": "512-680-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 PALISADES PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321244",
            "telephone_number": "512-680-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK VASCULAR ACCESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "512-680-6619"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "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 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.