Active NPI
Kristen Katherine Ude, D.C.
- Nutrition Chiropractor
- Austin, TX
National Provider Identifier
1720087331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 10555
- Practice address
- 1600 W 38TH St
Suite 412
Austin, TX 78731-6400 - Phone
- (512) 970-8883
- Fax
- (512) 451-8686
- NPI assigned
- Jul 15, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 10555 | TX | Primary |
Addresses
Primary practice location
1600 W 38TH St
Suite 412
Austin, TX 78731-6400
Mailing address
13021 Legendary Dr
Apt. 1318
Austin, TX 78727-3934
Phone (512) 970-8883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AA820 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13805 Ann PL
Austin, TX 78728-7702
Phone (512) 970-8883
1600 W 38TH St
Suite 412
Austin, TX 78731-6407
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10555 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Chiropractic Wellness, PLLC | Nutrition | Current | Accepting new patients |
Locations
13805 Ann Pl
Austin, TX 78728
Phone (512) 761-5627
1600 W 38th St
Ste 412
Austin, TX 78731
Phone (512) 451-8682
Organizations & group practices 1
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.
-
- Nutrition Chiropractor
- Austin, TX
- NPI 1144342064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1720087331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13021 LEGENDARY DR",
"address_2": "APT. 1318",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787273934",
"telephone_number": "512-970-8883",
"fax_number": "512-451-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 38TH ST",
"address_2": "SUITE 412",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316400",
"telephone_number": "512-970-8883",
"fax_number": "512-451-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDE",
"first_name": "KRISTEN",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "TX",
"license": "10555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AA820",
"state": "TX"
}
],
"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 Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.