Individual provider Active NPI

Courtney Jordan Rabb, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1124544820
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1179847 Issued in TX
Practice address
314 E Highland Mall Blvd Ste 305
Austin, TX 78752-3731
Phone
(512) 807-0640
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 838879 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1179847 TX Primary

Addresses

Primary practice location

314 E Highland Mall Blvd Ste 305
Austin, TX 78752-3731

Mailing address

314 E Highland Mall Blvd Ste 305
Austin, TX 78752-3731
Phone (512) 807-0640

Other practice location 1

56 East Ave
Austin, TX 78701-4323
Phone (512) 472-4357

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
838879TXMDRegistered Nurse
1179847TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jaime Nelson Pmhnp CurrentSince Nov 17, 2024 Accepting new patients

Locations

2101 S Ih 35
Ste 220
Austin, TX 78741
Phone (512) 807-0640

314 E Highland Mall Blvd
Ste 305
Austin, TX 78752
Phone (512) 469-9447

Organizations & group practices 1

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1124544820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E HIGHLAND MALL BLVD STE 305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523731",
            "telephone_number": "512-807-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E HIGHLAND MALL BLVD STE 305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523731",
            "telephone_number": "512-807-0640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 East Ave",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787014323",
            "country_code": "US",
            "telephone_number": "512-472-4357",
            "fax_number": "512-703-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABB",
        "first_name": "COURTNEY",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "838879",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1179847",
            "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 Nov 12, 2024; 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.