Sandra L. Kienitz, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

423653 Issued in TX

Practice address

107 Morning Glory Cir
Georgetown, TX 78633-4753

Phone

(512) 868-2519

NPI assigned

Oct 22, 2009

Last updated

Oct 22, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4

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.

• Austin Geriatric Specialists, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1376575886
  NPD (past)

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1790011948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MORNING GLORY CIR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334753",
            "telephone_number": "512-868-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MORNING GLORY CIR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334753",
            "telephone_number": "512-868-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENITZ",
        "first_name": "SANDRA",
        "middle_name": "L.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "TX",
            "license": "423653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Khondkar, RPH
• Lamis Khoury
• Kidabilities PC
• Ben Kiefer
• Camille Marie Kielbasa, APRN, AGCNS-BC
• Brian T Kim, DDS
• Christine Anne Kimber, COTA
• Kimberly Shewmaker, P.C.
• Amy Marie King
• Ashley Rose King, NURSE PRACTITIONER

• Gerontology Registered Nurse in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Gerontology Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.