Individual provider Active NPI

Samantha Padilla

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1255821195
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136531 Issued in TX
Practice address
4201 Marathon Blvd Ste 300
Austin, TX 78756-3410
Phone
(512) 458-6060
Fax
(512) 458-6070
NPI assigned
May 16, 2018
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 AP136531 TX Primary

Addresses

Primary practice location

4201 Marathon Blvd Ste 300
Austin, TX 78756-3410

Mailing address

4201 Marathon Blvd Ste 300
Austin, TX 78756-3410
Phone (512) 458-6060

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
I20181011000618 TX Practitioner - Nurse Practitioner 5092067595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12005 Bee Caves Rd
V
Austin, TX 78738-6385
Phone (512) 225-0766

4201 Marathon Blvd
Suite 300
Austin, TX 78756-3410
Phone (512) 458-6060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136531TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Mar 27, 2025 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Mar 27, 2025 Accepting new patients

Locations

4201 Marathon Blvd
Ste 300
Austin, TX 78756
Phone (512) 458-6060

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: samantha.padilla.1@17668.direct.athenahealth.com
  • Direct secure messaging: samantha.padilla.1@8042.direct.athenahealth.com
  • Direct secure messaging: samantha.padilla.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1255821195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MARATHON BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563410",
            "telephone_number": "512-458-6060",
            "fax_number": "512-458-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MARATHON BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563410",
            "telephone_number": "512-458-6060",
            "fax_number": "512-458-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.