Individual provider Active NPI

Lisa M Sunden, MSN CNM

  • Advanced Practice Midwife
  • Austin, TX
National Provider Identifier
1922160936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
618615 Issued in TX
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
159758502MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000985 TX Practitioner - Certified Nurse Midwife (CNM) 7517903198 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
618615TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. CurrentSince Dec 1, 2015 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 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.

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

Verify at the official NPI Registry.