Individual provider Active NPI

Kaitey Alyson Denison, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1962260026
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1129019 Issued in TX
Practice address
11139 N Ih-35 Service Rd
Suite 120
Austin, TX 78753
Phone
(512) 617-4142
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1129019 TX Primary

Addresses

Primary practice location

11139 N Ih-35 Service Rd
Suite 120
Austin, TX 78753

Mailing address

524 Fort Thomas PL
Round Rock, TX 78664-7438

Other practice location 1

11139 N IH-35 Service Rd
suite 120
austin, TX 78756
Phone (512) 813-9342

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1129019TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1962260026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 FORT THOMAS PL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11139 N IH-35 SERVICE RD",
            "address_2": "SUITE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78753",
            "telephone_number": "512-617-4142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11139 N IH-35 Service Rd",
            "address_2": "suite 120",
            "address_purpose": "LOCATION",
            "city": "austin",
            "state": "TX",
            "postal_code": "78756",
            "country_code": "US",
            "telephone_number": "512-813-9342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENISON",
        "first_name": "KAITEY",
        "middle_name": "ALYSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1129019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 18, 2024; 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.