Individual provider Active NPI

Haset Admasu

  • Adult Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1083426266
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1169534 Issued in TX
Practice address
11139 N Interstate 35 Ste 120
Austin, TX 78753-3245
Phone
(512) 866-4774
Fax
(512) 617-4146
NPI assigned
Jan 23, 2025
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1169534 TX Primary

Addresses

Primary practice location

11139 N Interstate 35 Ste 120
Austin, TX 78753-3245

Mailing address

11139 N Interstate 35 Ste 120
Austin, TX 78753-3245
Phone (512) 866-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1169534TXMDAdult Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1083426266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11139 N INTERSTATE 35 STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533245",
            "telephone_number": "512-866-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11139 N INTERSTATE 35 STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533245",
            "telephone_number": "512-866-4774",
            "fax_number": "512-617-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADMASU",
        "first_name": "HASET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1169534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.