Active NPI
Kendel Wille, PA
- Physician Assistant
- Austin, TX
National Provider Identifier
1730301292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05115
- Practice address
- 4007 James Casey
Suite B220
Austin, TX 78745 - Phone
- (512) 440-1113
- Fax
- (512) 444-1346
- NPI assigned
- May 3, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA05115 | TX | Primary |
Addresses
Primary practice location
4007 James Casey
Suite B220
Austin, TX 78745
Mailing address
8608 Ipswich Bay Dr
Austin, TX 78747-2742
Phone (512) 440-1113
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05115 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald P. Ward, M.D.,P.a. | Physician Assistant | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1730301292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8608 IPSWICH BAY DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787472742",
"telephone_number": "512-440-1113",
"fax_number": "512-444-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4007 JAMES CASEY",
"address_2": "SUITE B220",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78745",
"telephone_number": "512-440-1113",
"fax_number": "512-444-1346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLE",
"first_name": "KENDEL",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA05115",
"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 Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.