Individual provider Active NPI

Kathlean Cooley-Ponds, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1831417542
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
AP122339 Issued in TX
Practice address
1807 W Slaughter LN Ste 485
Austin, TX 78748-6204
Phone
(512) 297-2100
NPI assigned
May 6, 2010
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X AP122339 TX Primary

Addresses

Primary practice location

1807 W Slaughter LN Ste 485
Austin, TX 78748-6204

Mailing address

7200 Wyoming Springs Dr Ste 300
Round Rock, TX 78681-4304
Phone (512) 673-8983

Other practice location 1

2320 E 93rd Street
Chicago, IL 60617
Phone (773) 967-5842

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
I20160817001580 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 8123313087 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Heart Care of Midtown Austin, LLCGroup PAC ID 3577829886, 7 clinicians

Practice addresses (Care Compare)

7200 Wyoming Springs Dr
Suite 300
Round Rock, TX 78681-4304
Phone (512) 661-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
AP122339TXMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heartcare of Dallas, LLC CurrentSince Jul 25, 2021 Accepting new patients
Legacy Heart Care of Grand Prairie, LLC CurrentSince Apr 26, 2023 Accepting new patients
Legacy Heart Care of North Dallas, LLC CurrentSince Jul 9, 2023 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Jul 25, 2021 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince Nov 1, 2018 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince Nov 1, 2018 Accepting new patients
Legacy Heart Care of South Austin, LLC CurrentSince Nov 1, 2017 Accepting new patients
Legacy Heart Care of Midtown Austin, LLC CurrentSince Nov 1, 2017 Accepting new patients
Legacy Heart Care of Fort Worth, LLC CurrentSince Jul 25, 2021 Accepting new patients

Locations

1807 W Slaughter Ln
Ste 485
Austin, TX 78748
Phone (817) 423-4400

901 W 38th St
Ste 403
Austin, TX 78705
Phone (512) 419-1100

7515 Greenville Ave
Ste 1010
Dallas, TX 75231
Phone (972) 838-7255

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

4927 Lake Ridge Pkwy
Ste 145
Grand Prairie, TX 75052
Phone (817) 423-4400

1180 Seton Pkwy
Ste 280
Kyle, TX 78640
Phone (817) 710-7644

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

7300 Eldorado Pkwy
Ste 105
McKinney, TX 75070
Phone (945) 200-6880

4716 Dexter Dr
Ste 200
Plano, TX 75093
Phone (817) 502-7027

7200 Wyoming Springs Dr
Ste 300
Round Rock, TX 78681
Phone (512) 419-1100

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1831417542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPRINGS DR STE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814304",
            "telephone_number": "512-673-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W SLAUGHTER LN STE 485",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486204",
            "telephone_number": "512-297-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 E 93rd Street",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60617",
            "country_code": "US",
            "telephone_number": "773-967-5842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOLEY-PONDS",
        "first_name": "KATHLEAN",
        "name_prefix": "Mrs.",
        "credential": "ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP122339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.