Individual provider Active NPI

Anna K Picard, NP

  • Pediatric Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1962083170
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP1033818 Issued in TX
Practice address
1001 Little Oak Way
Round Rock, TX 78681-5516
Phone
(512) 255-8868
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP1033818 TX Primary

Addresses

Primary practice location

1001 Little Oak Way
Round Rock, TX 78681-5516

Mailing address

1001 Little Oak Way
Round Rock, TX 78681-5516
Phone (512) 255-8868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1033818TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Health Partners PLLC PastSince Apr 25, 2021 Accepting new patients
Modern Pediatrics Professionals, PLLC PastSince Feb 9, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11316/brand/5/csg/1/fhir/r4

Organizations & group practices 2

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1962083170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LITTLE OAK WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815516",
            "telephone_number": "512-255-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LITTLE OAK WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815516",
            "telephone_number": "512-255-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARD",
        "first_name": "ANNA",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP1033818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.