Individual provider Active NPI

Katlyn Ann Augustine

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1710615224
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1050 N Westmoreland Rd
Dallas, TX 75211-2444
Phone
(214) 333-3033
NPI assigned
Aug 11, 2022
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1050 N Westmoreland Rd
Dallas, TX 75211-2444

Mailing address

610 Gene Autry LN
Murphy, TX 75094-2616
Phone (214) 326-2717

Other practice location 1

1201 W University Dr
Edinburg, TX 78539-2909
Phone (956) 665-7049

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
I20250707000326 TX Practitioner - Physician Assistant 9537673223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Univeristy of Texas Rio Grande Valley Med School, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metroplex Care GroupGroup PAC ID 8022239565, 20 clinicians

Practice addresses (Care Compare)

1050 N Westmoreland Rd
Suite 432
Dallas, TX 75211-2456
Phone (214) 333-3033

2701 S Hampton Rd
Suite 101
Dallas, TX 75224-2363
Phone (214) 330-9221

700 N Pearl St
Suite N208
Dallas, TX 75201-7430
Phone (214) 999-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Care Group CurrentSince Apr 7, 2025 Accepting new patients
Metroplex Care Group CurrentSince Apr 7, 2025 Accepting new patients

Locations

700 N Pearl St
Ste N208
Dallas, TX 75201
Phone (214) 855-0608

700 N Pearl St
Ste N510
Dallas, TX 75201

10050 Legacy Dr
Ste 400
Frisco, TX 75033
Phone (469) 239-0205

201 Commerce St
Ft Worth, TX 76102
Phone (682) 285-1100

Interoperability endpoints

  • Direct secure messaging: katlynaugustine@gfmc.allscriptsdirect.net

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1710615224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 GENE AUTRY LN",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750942616",
            "telephone_number": "214-326-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N WESTMORELAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752112444",
            "telephone_number": "214-333-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785392909",
            "country_code": "US",
            "telephone_number": "956-665-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "KATLYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.