MRS. KELLYE MIXSON MSN APRN PMHNP-BC NPI 1255965273

NPI Information

NPI: 1255965273
Provider Name: MRS. KELLYE MIXSON, MSN, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
4101 PARKSTONE HEIGHTS DR STE 360
AUSTIN, TX
ZIP 78746
Phone: (940) 781-9549
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MRS. Kellye Mixson, MSN, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Austin, TX. MRS. Kellye Mixson, MSN, APRN, PMHNP-BC NPI is 1255965273. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4101 PARKSTONE HEIGHTS DR STE 360
AUSTIN, TX
ZIP 78746-482
Phone: (940) 781-9549

The NPI 1255965273 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2020 and was last updated on 8/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	145313	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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