Individual provider Active NPI

Kathy Austin, NP

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1962699074
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
548084 Issued in TX
Practice address
6550 Fannin St
Suite 1001
Houston, TX 77030-2717
Phone
(713) 441-0005
NPI assigned
Oct 2, 2007
Last updated
Dec 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 548084 TX Primary

Addresses

Primary practice location

6550 Fannin St
Suite 1001
Houston, TX 77030-2717

Mailing address

6550 Fannin St
Suite 1001
Houston, TX 77030-2717

Other identifiers 3

IdentifierTypeStateIssuer
193369901MedicaidTX
P00470389OtherTXRAILROAD MEDICARE
8Y3436OtherTXBLUE CROSS BLUE SHIELD

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
I20080310000659 TX Practitioner - Nurse Practitioner 4587749916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rodom Medical Consulting PAGroup PAC ID 9638176233, 7 clinicians

Practice addresses (Care Compare)

11490 Space Ctr Blvd
Houston, TX 77059-3599
Phone (281) 241-6460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
548084TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rodom Medical Consulting PA CurrentSince Mar 1, 2020 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients
Educare Community Living Corporation - Gulf Coast Past Accepting new patients
TMH Physician Organization Past Accepting new patients

Locations

3101 S Austin Ave
Georgetown, TX 78626
Phone (512) 819-1100

1120 Cypress Station Dr
Houston, TX 77090
Phone (281) 893-7200

1013 Delesandri Ln
Kemah, TX 77565
Phone (713) 568-1210

7918 Broadway St
Ste 104
Pearland, TX 77581
Phone (281) 543-9458

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1962699074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 1001",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 1001",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-441-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "KATHY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "548084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193369901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00470389",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8Y3436",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.