Active NPI
Kendall Altaffer Pmhnp PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Austin, TX
National Provider Identifier
1740749274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryNPI 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.