Nourish. an Integrative Medical Practice, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

N3539 Issued in TX

Legal business name

NOURISH. AN INTEGRATIVE MEDICAL PRACTICE, PLLC

Practice address

1701 Toomey Rd
Austin, TX 78704-1033

Phone

(512) 454-3781

Fax

(512) 454-4058

NPI assigned

Jul 17, 2012

Organization subpart

No

Name

Alejandra Varela Carrasco, M.D.

Title

Owner

Phone

(512) 750-0108

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2012.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1194070060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 TOOMEY RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041033",
            "telephone_number": "512-454-3781",
            "fax_number": "512-454-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH. AN INTEGRATIVE MEDICAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_middle_name": "VARELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-750-0108",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "N3539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard McKinley Noster, M.D.
• Ashley Wietz Nottebart, PMHNP-BC
• Nourish Counseling, LLC
• Nourish Well LLC
• Nourish, Inc.
• Nourished Roots LLC
• Nova Health Systems Inc
• Nova Strand Diagnostics
• Novabridge Medical LLC
• Jeffrey M. Novak, D.M.D.

• All providers in Austin, TX
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.