Individual provider Active NPI

Autumn Skye Hirrill, FNP-BC

  • Family Nurse Practitioner
  • Baytown, TX
National Provider Identifier
1790268589
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1125273 Issued in TX
Practice address
1300 Rollingbrook Dr Ste 508
Baytown, TX 77521-3863
Phone
(281) 837-6463
NPI assigned
Sep 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1125273 TX Primary
Registered Nurse 163W00000X 950007 TX

Addresses

Primary practice location

1300 Rollingbrook Dr Ste 508
Baytown, TX 77521-3863

Mailing address

1303 Shady Grove CT
Seabrook, TX 77586-4137
Phone (680) 222-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240125002111 TX Practitioner - Nurse Practitioner 9335592401 Reassigns benefits to 2 organizations
I20240516002692 NY Practitioner - Nurse Practitioner 9335592401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
950007TXMDRegistered Nurse
1125273TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Apr 7, 2024 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 7, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 7, 2024 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Apr 8, 2024 Accepting new patients
Mohamed S Ahmed MD PA PastSince Nov 10, 2024 Accepting new patients
Advocate Pediatric Home Care LLC Past Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1790268589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 SHADY GROVE CT",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775864137",
            "telephone_number": "680-222-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ROLLINGBROOK DR STE 508",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213863",
            "telephone_number": "281-837-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRRILL",
        "first_name": "AUTUMN",
        "middle_name": "SKYE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-08",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1125273",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "950007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.