Organization Active NPI

Zest Family Medicine PLLC

Doing business as Pride Family Medicine

  • Family Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1780221598
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ZEST FAMILY MEDICINE PLLC
Doing business as
Pride Family Medicine
Practice address
1201 N Lakeline Blvd Ste 400
Cedar Park, TX 78613-6780
Phone
(512) 970-5304
NPI assigned
Nov 30, 2019
Last updated
Oct 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Authorized official

Name
Eric Behm, ANPNPI 1437538865
Title
Owner/President/Provider
Phone
(512) 379-7272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU
Infectious Disease Physician 207RI0200X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1201 N Lakeline Blvd Ste 400
Cedar Park, TX 78613-6780

Mailing address

1201 N Lakeline Blvd Ste 400
Cedar Park, TX 78613-6780
Phone (512) 379-7272

Other names 1

  • Pride Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200406000443 TX Part B Supplier - Clinic/Group Practice 5193154623 Receives reassigned benefits from 5 practitioners
Practice locations: Cedar Park, TX

National Provider Directory

National Provider Directory

Locations

1201 N Lakeline Blvd
Ste 400
Cedar Park, TX 78613
Phone (512) 379-7272

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729296000000",
    "number": "1780221598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N LAKELINE BLVD STE 400",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136780",
            "telephone_number": "512-379-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N LAKELINE BLVD STE 400",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136780",
            "telephone_number": "512-970-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEST FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-30",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A",
        "authorized_official_last_name": "BEHM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "512-379-7272",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pride Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.