Individual provider Active NPI

Jean A. Hertel, DPM

  • Podiatrist
  • Austin, TX
National Provider Identifier
1952367682
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1722 Issued in TX
Practice address
12221 Mopac Expressway North
Austin, TX 78758-2483
Phone
(512) 901-4015
Fax
(512) 901-3915
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1722 TX Primary

Addresses

Primary practice location

12221 Mopac Expressway North
Austin, TX 78758-2483

Mailing address

12221 Mopac Expressway North
Austin, TX 78758-2483
Phone (512) 901-4015

Other identifiers 1

IdentifierTypeStateIssuer
173425301MedicaidTX

Other names 1

  • Jean A Hertel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Diagnostic Clinic, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jean.hertel@hca8.eclinicaldirectplus.com
  • Direct secure messaging: 11228-hertel-jean@direct.leadingreach.com

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1952367682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MOPAC EXPRESSWAY NORTH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582483",
            "telephone_number": "512-901-4015",
            "fax_number": "512-901-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MOPAC EXPRESSWAY NORTH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582483",
            "telephone_number": "512-901-4015",
            "fax_number": "512-901-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTEL",
        "first_name": "JEAN",
        "middle_name": "A.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173425301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "HERTEL",
            "middle_name": "A",
            "credential": "DPM",
            "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 Mar 26, 2009; 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.