Individual provider Active NPI

Kaela Thurman, R.N., F.N.P.-C.

  • Family Nurse Practitioner
  • Liberty Hill, TX
National Provider Identifier
1962898205
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
755568 Issued in TX
Practice address
12701 W SH29 Suite 5
Liberty Hill, TX 78642
Phone
(512) 548-5373
Fax
(512) 548-5374
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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 755568 TX Primary

Addresses

Primary practice location

12701 W SH29 Suite 5
Liberty Hill, TX 78642

Mailing address

12701 W SH29 Suite 5
Liberty Hill, TX 78642
Phone (512) 548-5373

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
I20150814013515 TX Practitioner - Nurse Practitioner 4587979836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kaela Thurman NP and Associate PLLCGroup PAC ID 2567722143, 2 clinicians

Practice addresses (Care Compare)

12701 W State Hwy 29 5
Care First Walk in Clinic
Liberty Hill, TX 78642-6348
Phone (512) 548-5373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
755568TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaela Thurman NP & Associate PLLC CurrentSince Dec 1, 2017 Accepting new patients

Locations

12701 W State Highway 29
Ste 1
Liberty Hill, TX 78642
Phone (512) 548-5373

12701 W State Highway 29
Ste 5
Liberty Hill, TX 78642
Phone (512) 548-5373

12635 W State Highway 29
Liberty Hill, TX 78642
Phone (512) 548-5373

Interoperability endpoints

  • Direct secure messaging: kaela.thurman@293906501009412.direct.elationemr.com

Organizations & group practices 1

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1962898205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 W SH29 SUITE 5",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "78642",
            "telephone_number": "512-548-5373",
            "fax_number": "512-548-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 W SH29 SUITE 5",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "78642",
            "telephone_number": "512-548-5373",
            "fax_number": "512-548-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "KAELA",
        "credential": "R.N., F.N.P.-C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "755568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

Verify at the official NPI Registry.