Active NPI
Carla McGruder, MD, CGC
- Genetic Counselor (M.S.)
- Austin, TX
National Provider Identifier
1396273058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 900 E 30TH St Ste 100
Austin, TX 78705-3378 - Phone
- (512) 505-5500
- Fax
- (512) 334-2702
- NPI assigned
- May 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary |
Addresses
Primary practice location
900 E 30TH St Ste 100
Austin, TX 78705-3378
Mailing address
9715 Burnet Rd
BLD. 7, St 200
Austin, TX 78758-5390
Phone (512) 505-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Other | N/A |
Other names 1
- Carla Christle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1396273058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9715 BURNET RD",
"address_2": "BLD. 7, ST 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585390",
"telephone_number": "512-505-5500",
"fax_number": "512-334-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E 30TH ST STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787053378",
"telephone_number": "512-505-5500",
"fax_number": "512-334-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRUDER",
"first_name": "CARLA",
"credential": "MD, CGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "0000000",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "CHRISTLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.