Individual provider Active NPI

Sarah Matthews

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1174251664
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1004790 Issued in TX
Practice address
314 E Highland Mall Blvd Ste 305
Austin, TX 78752-3731
Phone
(512) 807-0640
Fax
(737) 242-7961
NPI assigned
Aug 11, 2022
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1004790 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

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
1004790TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jaime Nelson Pmhnp CurrentSince Aug 14, 2022 Accepting new patients

Locations

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, 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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1174251664",
    "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",
            "fax_number": "737-242-7961"
        },
        {
            "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",
            "fax_number": "737-242-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1004790",
            "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 Sep 26, 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.