Alejandra Varela Carrasco, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N3539 Issued in TX

Practice address

1701 Toomey Rd
Austin, TX 78704-1033

Phone

(512) 813-0629

Fax

(512) 727-6083

NPI assigned

Aug 28, 2008

Last updated

Mar 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 9, 2022 through Nov 9, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Nourish. an Integrative Medical Practice, PLLC

  • Health Service Clinic/Center
  • Austin, TX
  • NPI 1194070060
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1467600841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 TOOMEY RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041033",
            "telephone_number": "512-813-0629",
            "fax_number": "512-727-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 TOOMEY RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041033",
            "telephone_number": "512-813-0629",
            "fax_number": "512-727-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "ALEJANDRA",
        "middle_name": "VARELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista K Carr, RN CHPN
• Lisa Carr, SLP
• Vanesa Carranco
• Alfredo Carranza III
• Wilbur Carranza, LPC
• Daniel Anthony Carrasco, MD
• Jiovann A Carrasco, LPC-S
• Nicolas Carrasco, PHD
• Nidia Gisela Carrasco
• Ruy Carrasco, MD

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.