Individual provider Active NPI

Michelle Rarity Poole, RN, CNP

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1104041854
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
634968 Issued in TX
Practice address
1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723
Phone
(512) 478-8116
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 634968 TX Primary

Addresses

Primary practice location

1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723

Mailing address

1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723
Phone (512) 478-8116

Other names 1

  • Michelle K Rarity Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091117000248 TX Practitioner - Nurse Practitioner 2365580081 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
634968TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bexar Emergency Physicians, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Apr 7, 2014 Accepting new patients
Lone Star Emergency Associates LLC CurrentSince Jun 1, 2016 Accepting new patients
Longhorn Emergency Medical Associates PA CurrentSince Sep 1, 2018 Accepting new patients
Victoria Emergency Partners LLC CurrentSince Sep 24, 2019 Accepting new patients
Texas Children'S Urgent Care Past Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

12201 Renfert Way
Ste 110
Austin, TX 78758
Phone (512) 491-5125

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

11130 Christus Hls
Ste 119
San Antonio, TX 78251
Phone (210) 703-9800

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • Direct secure messaging: mpoole406408@prddirect.texaschildrens.org

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104041854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "512-478-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "512-478-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "MICHELLE",
        "middle_name": "RARITY",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "634968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "RARITY",
            "middle_name": "K",
            "credential": "RN, CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.