Individual provider Active NPI

Janelle Pfaff Calloway, RN

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1801397013
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1088687 Issued in TX
Practice address
115 Palisade Dr
Austin, TX 78737-4500
Phone
(408) 318-2714
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 1088687 TX Primary
Registered Nurse 163W00000X 842777 TX

Addresses

Primary practice location

115 Palisade Dr
Austin, TX 78737-4500

Mailing address

115 Palisade Dr
Austin, TX 78737-4500

Other practice location 1

300 Bonnie Dr
Dripping Springs, TX 78620-3414
Phone (408) 318-2714

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)
Not enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
842777TXMDRegistered Nurse
1088687TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Health Partners PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11316/brand/5/csg/1/fhir/r4
  • Direct secure messaging: janelle.calloway.2@11316.direct.athenahealth.com

Organizations & group practices 1

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1801397013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PALISADE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PALISADE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374500",
            "telephone_number": "408-318-2714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Bonnie Dr",
            "address_purpose": "LOCATION",
            "city": "Dripping Springs",
            "state": "TX",
            "postal_code": "786203414",
            "country_code": "US",
            "telephone_number": "408-318-2714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLOWAY",
        "first_name": "JANELLE",
        "middle_name": "PFAFF",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1088687",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "842777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.