Individual provider Active NPI

Sofia Carrillo Arras

  • Psychiatric/Mental Health Nurse Practitioner
  • Live Oak, TX
National Provider Identifier
1437820271
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2021033533 Issued in TX
Practice address
15400 Lookout Rd Apt 1526
Live Oak, TX 78233-3509
Phone
(915) 317-2246
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
US Televero Health PA 37 clinicians

Practice addresses (Care Compare)

6101 W Courtyard Dr
Suite 2 225
Austin, TX 78730-5044
Phone (512) 956-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20231220000526 TX Practitioner - Nurse Practitioner 6709236516 Reassigns benefits to 3 organizations
I20240823001145 FL Practitioner - Nurse Practitioner 6709236516

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021033533TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 27, 2024 Accepting new patients
Oscar E Perez MD PA CurrentSince May 18, 2024 Accepting new patients
US Televero Health PA Psychiatric/Mental Health CurrentSince Jan 30, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

6101 W Courtyard Dr
Ste 2-225
Austin, TX 78730
Phone (877) 474-0155

1400 N El Paso St
Ste A
El Paso, TX 79902
Phone (915) 533-5550

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021033533 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

15400 Lookout Rd Apt 1526
Live Oak, TX 78233-3509

Mailing address

15400 Lookout Rd Apt 1526
Live Oak, TX 78233-3509
Phone (915) 317-2246

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2021.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1437820271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 LOOKOUT RD APT 1526",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333509",
            "telephone_number": "915-317-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 LOOKOUT RD APT 1526",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333509",
            "telephone_number": "915-317-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRAS",
        "first_name": "SOFIA",
        "middle_name": "CARRILLO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2021033533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.