Individual provider Active NPI

Jennifer Umanzor, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1659706034
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
723614 Issued in TX
Practice address
701 E FM 1626 Ste 100
Austin, TX 78748-6075
Phone
(855) 481-8375
NPI assigned
Sep 4, 2013
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 723614 TX Primary

Addresses

Primary practice location

701 E FM 1626 Ste 100
Austin, TX 78748-6075

Mailing address

7000 Woodhue Dr
Ste 200
Austin, TX 78745-5454
Phone (512) 439-0700

Other practice location 1

505 W Louis Henna Blvd Ste 100
Austin, TX 78728-1702
Phone (855) 481-8375

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
I20140117001286 TX Practitioner - Nurse Practitioner 3971731084 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
723614TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Ods Care PLLC PastSince Oct 1, 2015 Accepting new patients

Locations

505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505

2200 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 371-6398

911 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 600-2888

701 E FM 1626
Ste 100
Austin, TX 78748
Phone (512) 777-0884

177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077

Interoperability endpoints

  • Direct secure messaging: jennifer.umanzor.1@14883.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.umanzor.1@28292.direct.athenahealth.com

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1659706034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 WOODHUE DR",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455454",
            "telephone_number": "512-439-0700",
            "fax_number": "512-439-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E FM 1626 STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486075",
            "telephone_number": "855-481-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 W Louis Henna Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787281702",
            "country_code": "US",
            "telephone_number": "855-481-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMANZOR",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "723614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.