Active NPI
Lisa M Sunden, MSN CNM
- Advanced Practice Midwife
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 618615
- Practice address
- 313 E 12TH St
Ste 104
Austin, TX 78701-1954 - Phone
- (409) 747-0890
- NPI assigned
- Dec 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 618615 | TX | Primary |
Addresses
Primary practice location
313 E 12TH St
Ste 104
Austin, TX 78701-1954
Mailing address
301 University Blvd
Galveston, TX 77555-1022
Phone (409) 747-0890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159758502 | Medicaid | TX |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 618615 | TX | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Texas Holdings, P.a. | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| University of Texas Medical Branch, Austin Initiatives at Utmb | Past | Accepting new patients | |
| Ascension Seton | Past | Accepting new patients | |
| Utmb Austin - Initiatives | Past | Accepting new patients |
Locations
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
1500 Red River St
Austin, TX 78701
Phone (512) 324-0150
2811 E 2nd St
Austin, TX 78702
Phone (512) 324-4930
313 E 12th St
Ste 104
Austin, TX 78701
Phone (409) 772-7812
4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613
601 E 15th St
Austin, TX 78701
Phone (512) 324-7868
911 W 38th St
Ste 202
Austin, TX 78705
Phone (512) 324-8670
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
dba Ascension Texas Imaging
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
dba Ascension Seton Medical Center Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
-
- Internal Medicine Physician
- Austin, TX
- NPI 1144393802
-
- Multi-Specialty Clinic/Center
- Austin, TX
- NPI 1427099506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922160936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775551022",
"telephone_number": "409-747-0890",
"fax_number": "409-772-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 E 12TH ST",
"address_2": "STE 104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011954",
"telephone_number": "409-747-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDEN",
"first_name": "LISA",
"middle_name": "M",
"credential": "MSN CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "618615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159758502",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.