Individual provider Active NPI

Kelly Marie Barker, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1922415181
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137416 Issued in TX
Practice address
1601 Trinity St Ste 704F
Austin, TX 78712
Phone
(512) 496-2433
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP137416 TX
Student in an Organized Health Care Education/Training Program 390200000X RN60460657 WA
Family Nurse Practitioner 363LF0000X AP137416 TX Primary

Addresses

Primary practice location

1601 Trinity St Ste 704F
Austin, TX 78712

Mailing address

1601 Trinity St
Suite 704
Austin, TX 78712
Phone (512) 496-2433

Other names 1

  • Kelly B Andersson Former name

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
I20180905001251 TX Practitioner - Nurse Practitioner 0749590230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veurink Orthopedics PAGroup PAC ID 3072707769, 3 clinicians

Practice addresses (Care Compare)

695 Hill Country Dr
Kerrville, TX 78028-6076
Phone (830) 890-5827

Hospital & facility affiliations

  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP137416TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Donald Clinton Morris Jr M D P a CurrentSince Oct 1, 2018 Accepting new patients
Veurink Orthopedics PA CurrentSince Oct 1, 2018 Accepting new patients
Seton Family of Doctors Current Accepting new patients
William M. Allen,Jr., M.D., P.a. CurrentSince Oct 1, 2018 Accepting new patients
Seton Family of Doctors CurrentSince Jul 6, 2018 Accepting new patients
Seton Family of Doctors CurrentSince Jul 6, 2018 Accepting new patients

Locations

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

1601 Trinity St
Ste 704F
Austin, TX 78712
Phone (512) 324-7873

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1601 Trinity St
Stop 704
Austin, TX 78712
Phone (512) 324-8300

695 Hill Country Dr
Kerrville, TX 78028
Phone (830) 890-5827

695 Hill Country Dr
Ste C
Kerrville, TX 78028
Phone (830) 895-4466

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1922415181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST",
            "address_2": "SUITE 704",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78712",
            "telephone_number": "512-496-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST STE 704F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78712",
            "telephone_number": "512-496-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP137416",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "RN60460657",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "ANDERSSON",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.