Individual provider Active NPI

Jose Raul Cabrera Corria, APRN-CNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1093454480
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1081259 Issued in TX
Practice address
12501 Tech Ridge Blvd
Austin, TX 78753-1100
Phone
(908) 838-2694
NPI assigned
Jun 2, 2022
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1081259 TX Primary
Registered Nurse 163W00000X 963914 TX

Addresses

Primary practice location

12501 Tech Ridge Blvd
Austin, TX 78753-1100

Mailing address

12501 Tech Ridge Blvd Apt 218
Austin, TX 78753-1121

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
963914TXMDRegistered Nurse
1081259TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serve All Medical Round Rock, PLLC PastSince Mar 16, 2021 Accepting new patients
Serve All Medical GCS, PLLC PastSince Mar 16, 2021 Accepting new patients
Serve All Medical Camp Bowie, PLLC PastSince May 16, 2021 Accepting new patients
Serve All Medical Oltorf, PLLC PastSince May 16, 2021 Accepting new patients
Serve All Medical, PLLC PastSince Mar 1, 2021 Accepting new patients
Serve All Medical Sherman, PLLC Past Accepting new patients
Serve All Medical Lamar, PLLC PastSince Mar 16, 2021 Accepting new patients
Serve All Medical Channelview, PLLC Past Accepting new patients
Serve All Medical Bishop PLLC PastSince Mar 16, 2021 Accepting new patients
Serve All Medical Miller, PLLC PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1093454480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 TECH RIDGE BLVD APT 218",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 TECH RIDGE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531100",
            "telephone_number": "908-838-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA CORRIA",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1081259",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "963914",
            "primary": false
        }
    ],
    "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 Jun 3, 2022; 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.