| NPI | 1104589183 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2021-10-18 |
| Last Updated | 2023-06-08 |
| Mailing Address | 10500 Lakeline Mall Dr Apt 4202 Austin, TX 78717-0078 United States Phone: (512) 214-2700 📍 View Map |
| Primary Practice Address | 11673 Jollyville Rd Ste 202 Austin, TX 78759-4211 United States Phone: (512) 342-7979 | Fax: (512) 637-2596 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LP0808X – Nurse Practitioner, Psych/Mental Health | TX | 1057095 |
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About NPI 1104589183
Mallori Weaver Hernandez NP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104589183. The primary specialty listed is Nurse Practitioner, Psych/Mental Health. The provider is located in Austin, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-10-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104589183?
NPI 1104589183 belongs to Mallori Weaver Hernandez NP, a Nurse Practitioner, Psych/Mental Health in Austin, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104589183 active?
The current status of NPI 1104589183 in the NPPES registry is Active. The record was last updated on 2023-06-08.
What specialty is NPI 1104589183?
NPI 1104589183 is classified under the taxonomy Nurse Practitioner, Psych/Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104589183?
You can verify NPI 1104589183 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104589183?
The primary practice address on file for NPI 1104589183 is 11673 Jollyville Rd Ste 202, Austin, TX 78759-4211. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104589183 issued?
NPI 1104589183 was first issued (enumerated) on 2021-10-18. The NPPES record was last updated on 2023-06-08.
Practice Location Map
Mallori Weaver Hernandez is located at 11673 Jollyville Rd Ste 202, Austin, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mallori Weaver Hernandez. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104589183. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | 1057095 | TX |