Organization Active NPI

Marble Falls Primary Care, PLLC

  • Primary Care Clinic/Center
  • Marble Falls, TX
National Provider Identifier
1225745573
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MARBLE FALLS PRIMARY CARE, PLLC
Practice address
101 N US Highway 281 Ste 101
Marble Falls, TX 78654-5764
Phone
(830) 265-6299
Fax
(830) 637-6866
NPI assigned
Nov 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Linda Sutherland, FNP-CNPI 1760961726
Title
FNP-C/Owner
Phone
(512) 966-6385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

101 N US Highway 281 Ste 101
Marble Falls, TX 78654-5764

Mailing address

101 N US Highway 281 Ste 101
Marble Falls, TX 78654-5764
Phone (830) 265-6299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230217000720 TX Part B Supplier - Clinic/Group Practice 3274905393 Receives reassigned benefits from 2 practitioners
Practice locations: Marble Falls, TX

National Provider Directory

National Provider Directory

Locations

101 N US Highway 281
Ste 101
Marble Falls, TX 78654
Phone (830) 265-6299

1107 Avenue K
Ste 100
Marble Falls, TX 78654

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1225745573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N US HIGHWAY 281 STE 101",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545764",
            "telephone_number": "830-265-6299",
            "fax_number": "830-637-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N US HIGHWAY 281 STE 101",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545764",
            "telephone_number": "830-265-6299",
            "fax_number": "830-637-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLE FALLS PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "FNP-C/OWNER",
        "authorized_official_telephone_number": "512-966-6385",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.