Individual provider Active NPI

Jillian Lounsberry, RN, MSN, CPNP

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1891342903
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP142401 Issued in TX
Practice address
3000 N Ih 35 Ste 770
Austin, TX 78705-1853
Phone
(512) 482-8880
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP142401 TX Primary

Addresses

Primary practice location

3000 N Ih 35 Ste 770
Austin, TX 78705-1853

Mailing address

516 Park Place Dr
Georgetown, TX 78628-6882
Phone (512) 815-4204

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
I20221215001497 TX Practitioner - Nurse Practitioner 6901275866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP142401TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. CurrentSince Aug 25, 2019 Accepting new patients
The Austin Diagnostic Clinic, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Austin Diagnostic Clinic CurrentSince Jan 1, 2023 Accepting new patients
The Austin Diagnostic Clinic, PLLC Current Accepting new patients
The Austin Diagnostic Clinic, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Cedar Bend Dr
Austin, TX 78758
Phone (512) 901-4016

3000 Ih 35 N
Ste 770
Austin, TX 78681
Phone (512) 482-8880

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

5145 Ranch Road 620 N
Austin, TX 78732
Phone (512) 266-1392

1401 Medical Pkwy
Ste 150
Cedar Park, TX 78613
Phone (512) 901-4002

1330 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 805-0680

Interoperability endpoints

  • Direct secure messaging: jillian.lounsberry@hca8.eclinicaldirectplus.com
  • Direct secure messaging: 11225-lounsberry-jillian@direct.leadingreach.com

Organizations & group practices 5

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1891342903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 PARK PLACE DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286882",
            "telephone_number": "512-815-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N IH 35 STE 770",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051853",
            "telephone_number": "512-482-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUNSBERRY",
        "first_name": "JILLIAN",
        "credential": "RN, MSN, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP142401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.