SARAH ANGELA WILSON-KENNELLY PNP NPI 1841397486

NPI Information

NPI: 1841397486
Provider Name: SARAH ANGELA WILSON-KENNELLY, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1301 BARBARA JORDAN BLVD
SUITE 400
AUSTIN, TX
ZIP 78723
Phone: (512) 708-1234
Get Directions

Sarah Angela Wilson-kennelly, PNP is a pediatrics nurse practitioner in Austin, TX. Sarah Angela Wilson-kennelly, PNP NPI is 1841397486. 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:

1301 BARBARA JORDAN BLVD
SUITE 400
AUSTIN, TX
ZIP 78723-077
Phone: (512) 708-1234

The NPI 1841397486 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 12/6/2016.

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	363LP0200X	Nurse Practitioner	Pediatrics	678957	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	329285602	MEDICAID	TEXAS
2	329285601	MEDICAID	TEXAS
3	328890YPCG	MEDICARE PIN	TEXAS

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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