Anakaren De Jesus Elizondo Carranza

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

44050196 Issued in TX

Practice address

102 Westlake Dr Ste 105
West Lake Hills, TX 78746-9818

Phone

(512) 813-7272

NPI assigned

Aug 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1922654243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WESTLAKE DR STE 105",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787469818",
            "telephone_number": "512-813-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WESTLAKE DR STE 105",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787469818",
            "telephone_number": "512-813-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Westlake Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787469818",
            "country_code": "US",
            "telephone_number": "512-813-7272 x2240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIZONDO CARRANZA",
        "first_name": "ANAKAREN",
        "middle_name": "DE JESUS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "44050196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Edelstein
• Elaine Hamilton, MD, PA
• Elite Athletic Therapy, PLLC
• Elizabeth Reidy MD Pediatrics PA
• Elizabeth Truong, M.D., P.a.
• Kirsten Elliott, AU.D.
• Stephanie Lynn Elliott, OTR
• Marissa Engel, LCSW
• Juan Jesus Flores Enriquez, PT, DPT
• Emily Laurel Epley, FNP-C

• Behavior Technician in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.