Individual provider Active NPI

Alycia Taylor Billeaudeaux, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1659145779
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1139831 Issued in TX
Practice address
4910 Mueller Blvd # 104
Austin, TX 78723-3079
Phone
(512) 324-0042
Fax
(512) 342-0043
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1139831 TX Primary

Addresses

Primary practice location

4910 Mueller Blvd # 104
Austin, TX 78723-3079

Mailing address

116 Round Valley CT
Liberty Hill, TX 78642-2259
Phone (903) 422-3239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1139831TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jan 22, 2024 Accepting new patients
Seton Family of Doctors CurrentSince Jan 22, 2024 Accepting new patients
Aa OBGYN PLLC CurrentSince Nov 7, 2023 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

4910 Mueller Blvd
Ste 104
Austin, TX 78723
Phone (512) 324-0042

12200 Renfert Way
Ste 100
Austin, TX 78758
Phone (512) 451-8211

Interoperability endpoints

  • Direct secure messaging: alycia.billeaudeaux.1@8363.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1659145779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ROUND VALLEY CT",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422259",
            "telephone_number": "903-422-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MUELLER BLVD # 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "512-324-0042",
            "fax_number": "512-342-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLEAUDEAUX",
        "first_name": "ALYCIA",
        "middle_name": "TAYLOR",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1139831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.