MRS. KELLYE MIXSON (NPI# 1255965273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255965273 |
| Entity Type | Individual |
| Full Name | MRS. KELLYE MIXSON |
| Credential | MSN, APRN, PMHNP-BC |
| Practice Address |
4101 Parkstone Heights Dr Ste 360 Austin TX 78746-7482 |
| Practice Telephone | 9407819549 |
| Mailing Telephone | 9407819549 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
145313 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 909 W 45th St Bldg 552, Austin, TX 787512803 | 5122065352 | 5122065833 |
| Street Address |
4101 PARKSTONE HEIGHTS DR STE 360 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78746-7482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598872871 | David Christian Urrate | Psychiatry & Neurology | 4101 Parkstone Heights Dr Ste 360, Austin, TX 78746-7482 | 2006-08-24 |
| 1053591339 | Austin Psychiatric Alliance, Pllc | Clinic/Center | 4101 Parkstone Heights Dr Ste 360, Austin, TX 78746-7482 | 2007-11-05 |
| 1174622740 | Mark Allen Esche | Psychiatry & Neurology | 4101 Parkstone Heights Dr Ste 360, Austin, TX 78746-7482 | 2006-09-21 |
| 1811096324 | Camille Anette Watson | Clinical Nurse Specialist | 4101 Parkstone Heights Dr Ste 360, Austin, TX 78746-7482 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1609494251 | Nandita Sarkar | Nurse Practitioner | 12804 Partridge Bend Dr, Austin, TX 78729-7385 | 2020-07-09 |
| 1295360477 | Linda Dawn Dao | Nurse Practitioner | 1715 S Capital of Texas Hwy Ste 205, Austin, TX 78746-6561 | 2020-03-07 |
| 1518591460 | Mynd Works Psychiatry, Pllc | Nurse Practitioner | 3724 Jefferson St Ste 206, Austin, TX 78731-6221 | 2020-03-01 |
| 1447726377 | Alysse Rochelle Craft | Nurse Practitioner | 5339 N Interstate 35 Ste 100, Austin, TX 78723-2558 | 2018-10-18 |
| 1033691746 | Malcolm Duncan | Nurse Practitioner | 7005 Mira Loma Ln Ste 101, Austin, TX 78723-1411 | 2018-08-30 |
| 1003396391 | Kimberly Bridzeke Staton | Nurse Practitioner | 1201 E 7th St Ste 620, Austin, TX 78702-3222 | 2018-08-16 |
| 1598201972 | Jeffrey Wright Bayless | Nurse Practitioner | 4600 Monterey Oaks Blvd, Apt 2211, Austin, TX 78749-4300 | 2017-01-10 |
| 1316491368 | Ryann Rathbone | Nurse Practitioner | 1600 W 38th St Ste 318, Austin, TX 78731-6406 | 2016-08-08 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.