Active NPI
Karen Burnett Hendricks, PA-C
- Physician Assistant
- Austin, TX
National Provider Identifier
1962696906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00663
- Practice address
- 5222 Burnet Rd
Suite 200
Austin, TX 78756-2430 - Phone
- (512) 459-9889
- Fax
- (512) 459-7373
- NPI assigned
- Sep 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00663 | TX | Primary |
Addresses
Primary practice location
5222 Burnet Rd
Suite 200
Austin, TX 78756-2430
Mailing address
5222 Burnet Rd
Suite 200
Austin, TX 78756-2430
Phone (512) 459-9889
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00663 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1962696906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5222 BURNET RD",
"address_2": "SUITE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787562430",
"telephone_number": "512-459-9889",
"fax_number": "512-459-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5222 BURNET RD",
"address_2": "SUITE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787562430",
"telephone_number": "512-459-9889",
"fax_number": "512-459-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "KAREN",
"middle_name": "BURNETT",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-04",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00663",
"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 Jun 3, 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.