Individual provider Active NPI

Kimberly Zachary

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1669952503
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140074 Issued in TX
Practice address
500 N Capital of Texas Hwy BLDG 6-125
Austin, TX 78746-3329
Phone
(855) 481-8375
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 AP140074 TX Primary

Addresses

Primary practice location

500 N Capital of Texas Hwy BLDG 6-125
Austin, TX 78746-3329

Mailing address

701 S Capital of Texas Hwy Ste 900
West Lake Hills, TX 78746-5243

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
I20190903000755 TX Practitioner - Nurse Practitioner 2163751009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Airrosti Rehab Centers, LLC Past Accepting new patients

Locations

500 N Capital of Texas Hwy
Bldg 1
Austin, TX 78746

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

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

500 N Capital of Texas Hwy
Ste 125
Austin, TX 78746
Phone (512) 443-9355

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

455 University Blvd
Ste 400
Round Rock, TX 78665
Phone (512) 766-2171

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kimberly.zachary.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1669952503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S CAPITAL OF TEXAS HWY STE 900",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CAPITAL OF TEXAS HWY BLDG 6-125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787463329",
            "telephone_number": "855-481-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.