Organization Active NPI

Karin Fagner NP PLLC

  • Adult Health Nurse Practitioner
  • Lago Vista, TX
National Provider Identifier
1851619837
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
644886 Issued in TX
Legal business name
KARIN FAGNER NP PLLC
Practice address
3500 Lohmans Ford Rd
#25
Lago Vista, TX 78645-8031
Phone
(512) 250-9140
Fax
(512) 250-2207
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Karin Fagner, NP
Title
Owner
Phone
(512) 250-9140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 644886 TX Primary

Addresses

Primary practice location

3500 Lohmans Ford Rd
#25
Lago Vista, TX 78645-8031

Mailing address

PO Box 500174
Austin, TX 78750-0174
Phone (512) 250-9140

Other identifiers 1

IdentifierTypeStateIssuer
321816601MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1851619837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500174",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787500174",
            "telephone_number": "512-250-9140",
            "fax_number": "512-250-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LOHMANS FORD RD",
            "address_2": "#25",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786458031",
            "telephone_number": "512-250-9140",
            "fax_number": "512-250-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIN FAGNER NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "FAGNER",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-250-9140",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "644886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321816601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lago Vista, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.