Individual provider Active NPI

Kathryn Ogg

  • Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1679230619
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1059149 Issued in TX
Practice address
4105 Teravista Club Dr
Round Rock, TX 78665-1525
Phone
(512) 310-3700
NPI assigned
Nov 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1059149 TX
Nurse Practitioner 363L00000X 1059149 TX Primary

Addresses

Primary practice location

4105 Teravista Club Dr
Round Rock, TX 78665-1525

Mailing address

2829 S Lakeline Blvd Unit 121
Cedar Park, TX 78613-1800
Phone (830) 515-9727

Other practice location 1

4907 Williams Dr
Georgetown, TX 78633-2115
Phone (512) 686-1694

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
I20211207001956 TX Practitioner - Nurse Practitioner 9133519069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

Practice addresses (Care Compare)

919 E 32ND St
St David'S Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1059149TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Curana Health Medical Group LLC Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

4105 Teravista Club Dr
Round Rock, TX 78665
Phone (512) 310-3700

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1679230619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 S LAKELINE BLVD UNIT 121",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131800",
            "telephone_number": "830-515-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 TERAVISTA CLUB DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651525",
            "telephone_number": "512-310-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4907 Williams Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786332115",
            "country_code": "US",
            "telephone_number": "512-686-1694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGG",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1059149",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1059149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.