Individual provider Active NPI

Sarah K Allison-Kolb, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1962582999
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
524607 Issued in TX
Practice address
3705 Medical Pkwy #450
Austin, TX 78705-1024
Phone
(512) 306-0061
Fax
(512) 306-0069
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 524607 TX
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 524607 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 524607 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy #450
Austin, TX 78705-1024

Mailing address

307 Medical Pkwy #450
Austin, TX 78705-1024
Phone (512) 306-0061

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110001297 TX Practitioner - Nurse Practitioner 4284697137 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
524607TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Jun 15, 2018 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Bluebonnet Trails Community MHMR Center Past Accepting new patients

Locations

4110 Guadalupe St
Austin, TX 78751
Phone (512) 419-2731

Organizations & group practices 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1962582999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MEDICAL PKWY #450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051024",
            "telephone_number": "512-306-0061",
            "fax_number": "512-306-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY #450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051024",
            "telephone_number": "512-306-0061",
            "fax_number": "512-306-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON-KOLB",
        "first_name": "SARAH",
        "middle_name": "K",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "524607",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "524607",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "524607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.