Organization Active NPI

The University of Texas at Austin

Doing business as UT Austin Nursing - Wellness Centers

  • Health Service Clinic/Center
  • Del Valle, TX
National Provider Identifier
1245612225
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
845473 Issued in TX
Legal business name
THE UNIVERSITY OF TEXAS AT AUSTIN
Doing business as
UT Austin Nursing - Wellness Centers
Practice address
5301 Ross Rd
#H
Del Valle, TX 78617-3288
Phone
(512) 386-3335
Fax
(512) 386-3333
NPI assigned
Jun 25, 2015
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Ms. Cara Green, CPPM
Title
Practice Manager
Phone
(512) 232-3727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 845473 TX Primary

Addresses

Primary practice location

5301 Ross Rd
#H
Del Valle, TX 78617-3288

Mailing address

2901 N Ih 35 # 1.301
Austin, TX 78722-2322
Phone (512) 232-3727

Other practice location 1

2901 N Interstate 35 Ste 1.301
Austin, TX 78722-2322
Phone (512) 232-3900

Other names 1

  • UT Austin Nursing - Wellness Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080408000293 TX Part B Supplier - Clinic/Group Practice 2668559436 Receives reassigned benefits from 312 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Austin, TX; Del Valle, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2100433Ut Austin Nursing-Wellness Center5301 Ross Rd # H, Del Valle, TX 78617Certificate of waiverAug 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Charlotte Katzin12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2901 N Interstate 35
Ste 1301
Austin, TX 78722
Phone (512) 203-7533

Practitioners & affiliated clinicians

Practitioners 74

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.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1245612225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N IH 35 # 1.301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787222322",
            "telephone_number": "512-232-3727",
            "fax_number": "512-471-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 ROSS RD",
            "address_2": "#H",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786173288",
            "telephone_number": "512-386-3335",
            "fax_number": "512-386-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 N Interstate 35 Ste 1.301",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787222322",
            "country_code": "US",
            "telephone_number": "512-232-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE UNIVERSITY OF TEXAS AT AUSTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "512-232-3727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPPM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "845473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Austin Nursing - Wellness Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del Valle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.