Individual provider Active NPI

Pauline Martin, RN-CFNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1346387263
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
245967 Issued in TX
Practice address
8517 FM 1826 BLDG 2
Austin, TX 78737-1473
Phone
(512) 416-0044
Fax
(512) 462-9765
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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 245967 TX Primary

Addresses

Primary practice location

8517 FM 1826 BLDG 2
Austin, TX 78737-1473

Mailing address

8517 FM 1826 BLDG 2
Austin, TX 78737-1473
Phone (512) 416-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 25, 2025 through Jun 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
245967TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Oaks Family Medicine, P.a. PastSince Apr 1, 2001 Accepting new patients

Organizations & group practices 1

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1346387263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 FM 1826 BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787371473",
            "telephone_number": "512-416-0044",
            "fax_number": "512-462-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8517 FM 1826 BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787371473",
            "telephone_number": "512-416-0044",
            "fax_number": "512-462-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PAULINE",
        "credential": "RN-CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "245967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.