Individual provider Active NPI

Kirsten Gibbs Nieto, M.D.

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1942461884
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N8049 Issued in TX
Practice address
4900 Mueller Blvd
Ut Southwestern Austin Pediatrics
Austin, TX 78723-3079
Phone
(888) 323-7277
Fax
(512) 324-0786
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TMB N8049 TX
Pediatrics Physician 208000000X N8049 TX Primary

Addresses

Primary practice location

4900 Mueller Blvd
Ut Southwestern Austin Pediatrics
Austin, TX 78723-3079

Mailing address

12017 Palisades Pkwy
Austin, TX 78732-1243
Phone (713) 870-1465

Other identifiers 1

IdentifierTypeStateIssuer
321953701MedicaidTX

Other names 1

  • Dr. Kirsten Inglee Gibbs 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130727000140 TX Practitioner - Pediatric MedicinePractitioner - Internal Medicine 8527209915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Vanderbilt University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
200 Ascension Texas Spine and Scoliosis
Austin, TX 78705-1006
Phone (512) 324-3580

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TMB N8049TXMDInternal Medicine Physician
N8049TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Dell Children'S Medical Group CurrentSince Apr 11, 2014 Accepting new patients
Dell Children'S Medical Group Pediatrics CurrentSince Apr 11, 2014 Accepting new patients
Ascension Seton Past Accepting new patients

Locations

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

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

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

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1600 W 38th St
Ste 308
Austin, TX 78731

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Organizations & group practices 5

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 2

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1942461884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12017 PALISADES PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321243",
            "telephone_number": "713-870-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MUELLER BLVD",
            "address_2": "UT SOUTHWESTERN AUSTIN PEDIATRICS",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "888-323-7277",
            "fax_number": "512-324-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "KIRSTEN",
        "middle_name": "GIBBS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "TMB N8049",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N8049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321953701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "GIBBS",
            "middle_name": "INGLEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.