Individual provider Active NPI

Kimberly Faye Sennet, APN-CNM, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1750658795
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1056730 Issued in TX
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
AP124363TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
The Hive Maternal Wellness Center Psychiatric/Mental Health Current Accepting new patients
Anew Era TMS & Psychiatry of Texas, PA PastSince Oct 31, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hivematernalwellnesscenter.kimberlysennet@154697.advancedmd-direct.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.