Individual provider Active NPI

Rosa Maria Frausto de Maldonado, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1285270389
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143977 Issued in TX
Practice address
1101 Camino la Costa
Austin, TX 78752-3930
Phone
(512) 478-4939
NPI assigned
Nov 23, 2019
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 AP143977 TX Primary

Addresses

Primary practice location

1101 Camino la Costa
Austin, TX 78752-3930

Mailing address

1101 Camino la Costa
Austin, TX 78752-3930
Phone (512) 478-4939

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
I20200329000602 TX Practitioner - Nurse Practitioner 5698104545 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
People's Community Clinic, Inc. CurrentSince Dec 11, 2019 Accepting new patients
Peoples Community Clinic Inc CurrentSince Dec 11, 2019 Accepting new patients

Locations

1101 Camino La Costa
Austin, TX 78752
Phone (512) 478-4939

10335 US Highway 290 E
Manor, TX 78653
Phone (512) 278-4000

10335 US Highway 290 E
Bldg 35
Manor, TX 78653
Phone (512) 478-4939

Interoperability endpoints

  • Direct secure messaging: rfraustodemaldonado668567@direct.ochin.org

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": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1285270389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CAMINO LA COSTA",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523930",
            "telephone_number": "512-478-4939",
            "fax_number": "512-708-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CAMINO LA COSTA",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523930",
            "telephone_number": "512-478-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAUSTO DE MALDONADO",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-23",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.