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Active NPI 1922472513 Individual Practitioner Female Practitioner

Kimberly May Kohutek , APRN, CPNP

Nurse Practitioner - Pediatrics • Austin, TX

Professional Overview & Biography Verified Profile Summary

Kimberly Kohutek, APRN, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Austin, TX. Practice services are available at 3705 MEDICAL PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3705 Medical Pkwy
Ste 200

Austin, TX 787051019

Telephone 5123242720
Associated Practice Facility / Clinic
🏢 Butler & Burns Ear Nose & Throat Associates Facility NPI 1174505473

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
221 Specialists

Practicing in Austin, TX (2253 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-04
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX AP128738

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
365908802 (TX)
Medicaid State Provider ID
365908801 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
NPI 1043988843

Doctor of Audiology

Dr. Stacey Clark , MD

Otolaryngology - Pediatric Otolaryngology

NPI 1184808511

Doctor of Medicine (M.D.)

Dr. Cindy Pocasangre , DNP, APRN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1215636923

Doctor of Nursing Practice, Advanced Practice Registered Nurse, CPNPPC

NPI 1255857983

Doctor of Audiology

Lauren Conner , PA-C

Physician Assistant

NPI 1306671672

Physician Assistant (Certified)

Madison Loffler

Audiologist

NPI 1386029932

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
👤
Provider Name / Credentials Updated November 04, 2020

Recorded as KIMBERLY KOHUTEK, APRN, CPNP

👤
Provider Name / Credentials Updated July 17, 2019

Recorded as KIMBERLY KOHUTEK

✅
NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2017

Registered at 3705 MEDICAL PKWY, STE 200, AUSTIN, TX 787051019 (Tel: 5123242720)

📍
Updated Business Mailing Address March 24, 2017

Registered at 3705 MEDICAL PKWY, STE 200, AUSTIN, TX 787051019 (Tel: 5123242720)

👤
Provider Name / Credentials Updated March 24, 2017

Recorded as KIMBERLY CRABB

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Nurse Practitioner (License #AP128738 in TX)

✅
NPI Profile Active November 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2015

Registered at 4102 S CLEAR CREEK RD, STE 107, KILLEEN, TX 765495953 (Tel: 2545268300)

📍
Updated Business Mailing Address November 19, 2015

Registered at 12220 HUNTERS CHASE DR, APT #2102, AUSTIN, TX 78729 (Tel: 6035913407)

👤
Provider Name / Credentials Updated November 19, 2015

Recorded as KIMBERLY CRABB

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2015

Nurse Practitioner (License #AP128738 in TX)

🟢
Initial NPI Registration & Enumeration November 19, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922472513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2015
Last Update: November 04, 2020
Sole Proprietor: No
Update or Correct Profile

Mailing Address

3705 Medical Pkwy, Ste 200

Austin, TX 787051019

Phone: 5123242720

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.