Individual provider Active NPI

Kayla Sellers, FNP-C

  • Family Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1902350952
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131301 Issued in TX
Practice address
511 Oakwood Blvd Ste 200
Round Rock, TX 78681-4068
Phone
(855) 481-8375
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131301 TX Primary

Addresses

Primary practice location

511 Oakwood Blvd Ste 200
Round Rock, TX 78681-4068

Mailing address

1400 N Ih 35
Ste 300
Austin, TX 78701-1926
Phone (512) 376-2999

Other practice location 1

209 S Church St
Suite B
Lockhart, TX 78644-2713
Phone (512) 376-2999

Other practice location 2

2200 Park Bend Dr Ste 204
Austin, TX 78758-5387
Phone (855) 481-8375

Other identifiers 1

IdentifierTypeStateIssuer
365771001MedicaidTX

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
I20161128002048 TX Practitioner - Nurse Practitioner 3476832940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

505 W Louis Henna Blvd
Suite 100
Austin, TX 78728-1702
Phone (855) 481-8375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP131301TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Medical Group CurrentSince Aug 1, 2023 Accepting new patients

Locations

2200 Park Bend Dr
Ste 204
Austin, TX 78758

500 N Capital of Texas Hwy
Bldg 1
Austin, TX 78746

911 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 600-2888

505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505

2200 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 371-6398

500 N Capital of Texas Hwy
#6
Austin, TX 78746

2200 Park Bend Dr
Bldg 2
Austin, TX 78758
Phone (512) 836-5665

177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077

511 Oakwood Blvd
Ste 200
Round Rock, TX 78681
Phone (512) 246-2262

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kayla.sellers.1@28292.direct.athenahealth.com

Organizations & group practices 1

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": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1902350952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N IH 35",
            "address_2": "STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011926",
            "telephone_number": "512-376-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 OAKWOOD BLVD STE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814068",
            "telephone_number": "855-481-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 S Church St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Lockhart",
            "state": "TX",
            "postal_code": "786442713",
            "country_code": "US",
            "telephone_number": "512-376-2999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Park Bend Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787585387",
            "country_code": "US",
            "telephone_number": "855-481-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "KAYLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365771001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.