Individual provider Active NPI

Carrie Culbertson, FNP-C, CNM

  • Advanced Practice Midwife
  • Austin, TX
National Provider Identifier
1255834719
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP136307 Issued in TX
Practice address
12221 Renfert Way Ste 330
Austin, TX 78758-5374
Phone
(512) 425-3825
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136307 TX
Advanced Practice Midwife 367A00000X AP136307 TX Primary

Addresses

Primary practice location

12221 Renfert Way Ste 330
Austin, TX 78758-5374

Mailing address

12221 Renfert Way Ste 330
Austin, TX 78758-5374
Phone (512) 425-3825

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Austin Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200727001439 TX Practitioner - Certified Nurse Midwife (CNM) 4385068147 Reassigns benefits to 1 organization
I20240819002229 OK Practitioner - Certified Nurse Midwife (CNM) 4385068147 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. CurrentSince Mar 3, 2022 Accepting new patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Jul 8, 2024 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

Organizations & group practices 3

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": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255834719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 RENFERT WAY STE 330",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585374",
            "telephone_number": "512-425-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 RENFERT WAY STE 330",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585374",
            "telephone_number": "512-425-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "CARRIE",
        "credential": "FNP-C, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136307",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP136307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Austin",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12221 Renfert Way Ste 330",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787585374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.