Organization Active NPI

Austin's Friendly Family Medicine, P.a.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1871773564
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K1972 Issued in TX
Legal business name
AUSTIN'S FRIENDLY FAMILY MEDICINE, P.A.
Practice address
7600 Burnet Rd Ste 270
Austin, TX 78757-1246
Phone
(512) 377-2336
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Jennifer Arnecilla, MD
Title
Physician
Phone
(512) 377-2336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K1972 TX Primary

Addresses

Primary practice location

7600 Burnet Rd Ste 270
Austin, TX 78757-1246

Mailing address

7600 Burnet Rd Ste 270
Austin, TX 78757-1246
Phone (512) 377-2336

Other identifiers 2

IdentifierTypeStateIssuer
00527WOtherTXMEDICARE GROUP #
1982604161OtherTXINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

7600 Burnet Rd
Ste 270
Austin, TX 78757
Phone (512) 377-2336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1871773564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 BURNET RD STE 270",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571246",
            "telephone_number": "512-377-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 BURNET RD STE 270",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571246",
            "telephone_number": "512-377-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN'S FRIENDLY FAMILY MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "ARNECILLA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "512-377-2336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "00527W",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1982604161",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.