Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Austin Children's Shelter

Organization Pediatric Nurse Practitioner · NPI 1801078241

Austin Children's Shelter is a Pediatric Nurse Practitioner in Austin, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007

Practice location Address checks out

1501 Enfield Rd
Austin, TX 78703
Phone: (512) 499-0090
Fax: (512) 499-0438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 596183 (TX)

Record details

NPI number1801078241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Fye — Deputy Director Of Finance · (512) 499-0090
NPI enumeratedNovember 28, 2007
Last updated in NPPESNovember 28, 2007
Mailing address804 Rio Grande St Ste C, Austin, TX 78701-2201

Other providers in Austin