Individual provider Active NPI

Tria Nietsche McKirdy, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1942239470
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10090 Issued in TX
Practice address
802 W Saint Elmo Rd
Austin, TX 78745-1153
Phone
(512) 299-8331
Fax
(512) 551-9445
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10090 TX Primary

Addresses

Primary practice location

802 W Saint Elmo Rd
Austin, TX 78745-1153

Mailing address

8600 Granada Hills Dr
Austin, TX 78737-1443
Phone (512) 299-8331

Other names 1

  • Dr. Tria Kristin Nietsche-McKirdy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060718000166 TX Practitioner - Chiropractic 0547273419 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

802 W Saint Elmo Rd
Austin, TX 78745-1153
Phone (512) 299-8331

8600 Granada Hills Dr
Austin, TX 78737-1443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10090TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Chiropractic PC Chiropractor Past Accepting new patients

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1942239470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 GRANADA HILLS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787371443",
            "telephone_number": "512-299-8331",
            "fax_number": "512-551-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W SAINT ELMO RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451153",
            "telephone_number": "512-299-8331",
            "fax_number": "512-551-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIRDY",
        "first_name": "TRIA",
        "middle_name": "NIETSCHE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRIA",
            "last_name": "NIETSCHE-MCKIRDY",
            "middle_name": "KRISTIN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.