Active NPI
Aida R. Coffey, M.D.
- Psychiatry Physician
- Lakeway, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G48976
- Practice address
- 1010 Ranch Road 620 South
Suite 108
Lakeway, TX 78734 - Phone
- (512) 565-5003
- Fax
- (512) 263-9975
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G48976 | TX | Primary |
Addresses
Primary practice location
1010 Ranch Road 620 South
Suite 108
Lakeway, TX 78734
Mailing address
1010 Ranch Road 620 South
Suite 108
Lakeway, TX 78734
Phone (512) 565-5003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030719101 | Medicaid | TX | |
| 0068DB | Other | TX | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Virginia School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1010 R R 620 S
Suite 108
Lakeway, TX 78734-5638
Phone (512) 496-7284
3705 Medical Pkwy
Suite 450
Austin, TX 78705-1024
Phone (512) 377-9781
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G48976 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS Neurohealth Texas PLLC | Psychiatry | Current | Accepting new patients |
| Diane Nguyen DO PLLC | Psychiatry | Past | Accepting new patients |
| Emamefe Okinedo DMD PLLC | Past | Accepting new patients |
Locations
3705 Medical Pkwy
Ste 450
Austin, TX 78705
Phone (512) 306-0061
4009 Banister Ln
Ste 360
Austin, TX 78704
Phone 51287939542916
23530 Kingsland Blvd
Ste 301
Katy, TX 77494
Phone (281) 769-3689
820 Lawrence Rd
Ste 126
Kemah, TX 77565
Phone (832) 536-7988
2950 Cullen Blvd
Ste 109
Pearland, TX 77584
Phone (281) 406-1594
21922 Bellaire Blvd
Ste 400
Richmond, TX 77407
Phone (346) 762-2751
1301 S Capital of Texas Hwy
Ste 138A
West Lake Hills, TX 78746
Phone (737) 239-0020
Interoperability endpoints
- aida.coffey.1@18773.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Austin, TX
- NPI 1154892230
-
- Psychiatry Physician
- Lakeway, TX
- NPI 1386819498
-
- Dentist
- Richmond, TX
- NPI 1629846878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1811069917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 RANCH ROAD 620 SOUTH",
"address_2": "SUITE 108",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "78734",
"telephone_number": "512-565-5003",
"fax_number": "512-263-9975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 RANCH ROAD 620 SOUTH",
"address_2": "SUITE 108",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "78734",
"telephone_number": "512-565-5003",
"fax_number": "512-263-9975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEY",
"first_name": "AIDA",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "G48976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030719101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0068DB",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.