Individual provider Active NPI

Katelyn Elizabeth Heck, RN, MSN, CRNP

  • Pediatric Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1801224159
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1111238 Issued in TX
Practice address
3950 N a W Grimes Blvd Ste N201
Round Rock, TX 78665-3540
Phone
(877) 800-5722
NPI assigned
Oct 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1111238 TX Primary
Pediatric Nurse Practitioner 363LP0200X SP013255 PA

Addresses

Primary practice location

3950 N a W Grimes Blvd Ste N201
Round Rock, TX 78665-3540

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

5781 W Sahara Ave Ste 500
Las Vegas, NV 89146-3168
Phone (702) 331-1700

Other practice location 2

605 Old Austin Hwy
Bastrop, TX 78602-5034
Phone (877) 800-5722

Other practice location 3

5915 La Crosse Avenue
Bldg 2, Ste 140
Austin, TX 78739-1783
Phone (503) 300-4111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513003054 TX Practitioner - Nurse Practitioner 4789969049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
SP013255PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care Current Accepting new patients
Lone Star Circle of Care CurrentSince Jun 3, 2024 Accepting new patients
Lone Star Circle of Care CurrentSince Jun 3, 2024 Accepting new patients
Pacific Crest Childrens Urgent Care LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

605 Old Austin Hwy
Bastrop, TX 78602
Phone (512) 308-6894

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

2423 Williams Dr
Ste 103
Georgetown, TX 78628

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

3950 N A W Grimes Blvd
Ste N201
Round Rock, TX 78665
Phone (512) 524-9282

Interoperability endpoints

  • Direct secure messaging: katelyn.heck.1@29821.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEGGCD/Endpoint/BEGGCD

Organizations & group practices 6

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": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1801224159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 N A W GRIMES BLVD STE N201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653540",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5781 W Sahara Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463168",
            "country_code": "US",
            "telephone_number": "702-331-1700",
            "fax_number": "702-818-5013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 Old Austin Hwy",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786025034",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5915 La Crosse Avenue",
            "address_2": "Bldg 2, Ste 140",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787391783",
            "country_code": "US",
            "telephone_number": "503-300-4111",
            "fax_number": "503-954-2122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECK",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1111238",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP013255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.