Organization Active NPI

Kendall Altaffer Pmhnp PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1740749274
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KENDALL ALTAFFER PMHNP PLLC
Practice address
3305 Northland Dr Ste 210
Austin, TX 78731-4988
Phone
(512) 454-5716
NPI assigned
Mar 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Kendall Kayworth, APRN
Title
Pmhnp-BC
Phone
(254) 716-1764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3305 Northland Dr Ste 210
Austin, TX 78731-4988

Mailing address

2100 Lobelia Dr
Cedar Park, TX 78613-5706

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1740749274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LOBELIA DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 NORTHLAND DR STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314988",
            "telephone_number": "512-454-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL ALTAFFER PMHNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "KAYWORTH",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "254-716-1764",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.