Active NPI
Patricia Kirksey
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1679007165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16083
- Practice address
- 2501 W William Cannon Dr
Building 6 Suite a
Austin, TX 78745-5281 - Phone
- (512) 344-9181
- Fax
- (512) 344-9135
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16083 | TX | Primary |
Addresses
Primary practice location
2501 W William Cannon Dr
Building 6 Suite a
Austin, TX 78745-5281
Mailing address
2501 W William Cannon Dr
Building 6 Suite a
Austin, TX 78745-5281
Phone (512) 344-9181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16083 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Zee Enterprises LLC | Clinical | Past | Accepting new patients |
| Vonzee Interests LLC | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Austin, TX
- NPI 1417492232
-
dba Plumeria Counseling Center
- Mental Health Counselor
- Austin, TX
- NPI 1184857393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1679007165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W WILLIAM CANNON DR",
"address_2": "BUILDING 6 SUITE A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787455281",
"telephone_number": "512-344-9181",
"fax_number": "512-344-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W WILLIAM CANNON DR",
"address_2": "BUILDING 6 SUITE A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787455281",
"telephone_number": "512-344-9181",
"fax_number": "512-344-9135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKSEY",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "16083",
"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 Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.