Individual provider Active NPI

Casey L. Kafena, NP

  • Gerontology Nurse Practitioner
  • Austin, TX
National Provider Identifier
1811537301
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP144220 Issued in TX
Practice address
3901 Medical Pkwy Ste 300
Austin, TX 78756-4022
Phone
(512) 920-0140
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP144220 TX
Gerontology Nurse Practitioner 363LG0600X AP144220 TX Primary

Addresses

Primary practice location

3901 Medical Pkwy Ste 300
Austin, TX 78756-4022

Mailing address

3901 Medical Pkwy Ste 300
Austin, TX 78756-4022

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200306000962 TX Practitioner - Nurse Practitioner 9133557036 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144220TXMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: casey.kafena.1@13067.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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1811537301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MEDICAL PKWY STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MEDICAL PKWY STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564022",
            "telephone_number": "512-920-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFENA",
        "first_name": "CASEY",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144220",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP144220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.