Individual provider Active NPI

Katiaryna Kulinich

  • Gerontology Nurse Practitioner
  • Austin, TX
National Provider Identifier
1831780758
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1027727 Issued in TX
Practice address
2911 Medical Arts St Ste 10
Austin, TX 78705-3302
Phone
(866) 473-0663
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 1027727 TX
Gerontology Nurse Practitioner 363LG0600X 1027727 TX Primary

Addresses

Primary practice location

2911 Medical Arts St Ste 10
Austin, TX 78705-3302

Mailing address

5300 Keller Springs Rd
Dallas, TX 75248-2775
Phone (817) 726-1980

Other practice location 1

1305 Airport Fwy Ste 103
Bedford, TX 76021-6603
Phone (469) 320-1267

Other practice location 2

3931 Joe Ramsey Blvd E Ste D
Greenville, TX 75401-7777
Phone (469) 320-1237

Other practice location 3

529 W Wheatland Rd
Duncanville, TX 75116-4515
Phone (469) 320-1267

Other practice location 4

3740 N Josey Ln Ste 212
Carrollton, TX 75007-2472
Phone (469) 320-1267

Other practice location 5

1919 S Shiloh Rd # 335
Garland, TX 75042-8234
Phone (469) 320-1267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210311000570 TX Practitioner - Nurse Practitioner 0547676827 Reassigns benefits to 1 organization
I20220812002858 CA Practitioner - Nurse Practitioner 0547676827 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists of Texas PA Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Sasha Salloum MD Inc a Professional Medical Corporation CurrentSince Aug 1, 2022 Accepting new patients
Vascular Associates of San Diego PastSince Aug 1, 2022 Accepting new patients

Locations

1111 Broadway
Ste 305
Chula Vista, CA 91911
Phone (619) 425-8212

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

1045 E Pennsylvania Ave
Escondido, CA 92025
Phone (760) 741-5466

6719 Alvarado Rd
Ste 303
San Diego, CA 92120
Phone (619) 286-9311

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521

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.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1831780758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 KELLER SPRINGS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482775",
            "telephone_number": "817-726-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST STE 10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302",
            "telephone_number": "866-473-0663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Airport Fwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760216603",
            "country_code": "US",
            "telephone_number": "469-320-1267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3931 Joe Ramsey Blvd E Ste D",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017777",
            "country_code": "US",
            "telephone_number": "469-320-1237",
            "fax_number": "469-320-1237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "529 W Wheatland Rd",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164515",
            "country_code": "US",
            "telephone_number": "469-320-1267",
            "fax_number": "469-320-1268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3740 N Josey Ln Ste 212",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750072472",
            "country_code": "US",
            "telephone_number": "469-320-1267",
            "fax_number": "469-320-1268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 S Shiloh Rd # 335",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750428234",
            "country_code": "US",
            "telephone_number": "469-320-1267",
            "fax_number": "469-320-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULINICH",
        "first_name": "KATIARYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1027727",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1027727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.