Healthcare Provider Details

I. General information

NPI: 1407559313
Provider Name (Legal Business Name): KIRSTEN ALENA HEWITT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 CYPRESS CREEK RD STE 201
CEDAR PARK TX
78613-4657
US

IV. Provider business mailing address

101 W LOUIS HENNA BLVD STE 300
AUSTIN TX
78728-1203
US

V. Phone/Fax

Practice location:
  • Phone: 512-244-4274
  • Fax: 512-244-2895
Mailing address:
  • Phone: 512-492-3743
  • Fax: 512-593-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA17568
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: