Individual provider Active NPI

Eduardo Alberto Maraboto, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1174871339
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
791490 Issued in TX
Practice address
11211 Taylor Draper LN Ste 120
Austin, TX 78759-3971
Phone
(512) 476-3556
Fax
(512) 476-0195
NPI assigned
Aug 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 791490 TX Primary

Addresses

Primary practice location

11211 Taylor Draper LN Ste 120
Austin, TX 78759-3971

Mailing address

11211 Taylor Draper LN Ste 120
Austin, TX 78759-3971
Phone (512) 476-3556

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
I20120913000032 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 5395993596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Mind Care PLLCGroup PAC ID 9234636192, 6 clinicians

Practice addresses (Care Compare)

3215 Steck Ave
Suite 200
Austin, TX 78757-8060
Phone (512) 476-3556

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
791490TXMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Mind Care PLLC Adult Health CurrentSince Jul 22, 2025 Accepting new patients

Locations

3215 Steck Ave
Ste 200
Austin, TX 78757
Phone (512) 476-3556

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1174871339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593971",
            "telephone_number": "512-476-3556",
            "fax_number": "512-476-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593971",
            "telephone_number": "512-476-3556",
            "fax_number": "512-476-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARABOTO",
        "first_name": "EDUARDO",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-20",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "791490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.