Individual provider Active NPI

Shaunn Atebara, NP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1245838705
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1016658 Issued in TX
Practice address
1111 W 34TH St
Suite 200
Austin, TX 78705
Phone
(512) 324-3405
Fax
(512) 458-5446
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1016658 TX Primary

Addresses

Primary practice location

1111 W 34TH St
Suite 200
Austin, TX 78705

Mailing address

1111 W 34TH St
Suite 200
Austin, TX 78705
Phone (512) 279-6749

Other identifiers 1

IdentifierTypeStateIssuer
42972417OtherTXTX DL

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
I20201117003172 TX Practitioner - Nurse Practitioner 6901217223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1111 W 34TH St
Suite 200 Ascension Medical Group Seton Wom
Austin, TX 78705-1916
Phone (512) 324-3405

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

301 Seton Pkwy
Round Rock, TX 78665-8003

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jan 30, 2023 Accepting new patients
Seton Family of Doctors CurrentSince Jan 30, 2023 Accepting new patients

Locations

1111 W 34th St
Ste 200
Austin, TX 78705
Phone (512) 324-3405

1305 W 34th St
Ste 308
Austin, TX 78705
Phone (512) 324-3405

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1301 W 38th St
Ste 400
Austin, TX 78705
Phone (512) 324-3340

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

511 Oakwood Blvd
Ste 301
Round Rock, TX 78681
Phone (512) 244-3698

Interoperability endpoints

  • Direct secure messaging: shaunn.atebara.1@8363.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1245838705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 34TH ST",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-279-6749",
            "fax_number": "512-279-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 34TH ST",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-324-3405",
            "fax_number": "512-458-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATEBARA",
        "first_name": "SHAUNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-09-25",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1016658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DL",
            "identifier": "42972417",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.