Active NPI
Kimberly Faye Sennet, APN-CNM, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Cedar Park, TX
National Provider Identifier
1750658795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1056730
- Practice address
- 1210 Cottonwood Creek TRL Ste 230
Cedar Park, TX 78613-2688 - Phone
- (512) 643-6099
- NPI assigned
- Nov 18, 2011
- Last updated
- Feb 18, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AP124363 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1056730 | TX | Primary |
Addresses
Primary practice location
1210 Cottonwood Creek TRL Ste 230
Cedar Park, TX 78613-2688
Mailing address
214 Northern TRL
Leander, TX 78641-8064
Phone (702) 203-1889
Other names 1
- Kimberly Faye Gray II
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP124363 | TX | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hive Maternal Wellness Center | Psychiatric/Mental Health | Current | Accepting new patients |
| Anew Era TMS & Psychiatry of Texas, PA | Past | Accepting new patients |
Interoperability endpoints
- hivematernalwellnesscenter.kimberlysennet@154697.advancedmd-direct.com
- kimberly.sennet.1@22469.direct.athenahealth.com
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.
-
- Adult Mental Health Clinic/Center
- Leander, TX
- NPI 1750068094
Psychiatric/Mental Health
-
dba Anew Era TMS & Psychiatry of Texas
- Psychiatry Physician
- Dallas, TX
- NPI 1588251854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1750658795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 NORTHERN TRL",
"city": "LEANDER",
"state": "TX",
"postal_code": "786418064",
"telephone_number": "702-203-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 COTTONWOOD CREEK TRL STE 230",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132688",
"telephone_number": "512-643-6099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENNET",
"first_name": "KIMBERLY",
"middle_name": "FAYE",
"name_prefix": "Mrs.",
"credential": "APN-CNM, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "AP124363",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1056730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "GRAY",
"middle_name": "FAYE",
"suffix": "II",
"credential": "APN-CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.