Active NPI
Sarah Kathryn Carrillo, DNP, FNP-C
- Family Nurse Practitioner
- Austin, TX
National Provider Identifier
1487343349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1116972
- Practice address
- 5900 Balcones Dr Ste 21112
Austin, TX 78731-4257 - Phone
- (737) 279-7200
- Fax
- (737) 279-7300
- NPI assigned
- May 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1116972 | TX | Primary |
Addresses
Primary practice location
5900 Balcones Dr Ste 21112
Austin, TX 78731-4257
Mailing address
5712 Ponderosa CT
Colleyville, TX 76034-6037
Phone (903) 217-9959
Other practice location 1
2321 Ira E Woods Ave Ste 200
Grapevine, TX 76051-8632
Phone (817) 989-6224
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shabnam Qasim Mdpa | Current | Accepting new patients |
Locations
1011 Roberts Cut Off Rd
River Oaks, TX 76114
Phone (817) 626-9744
Interoperability endpoints
- https://api.platform.athenahealth.com/13752/brand/1/csg/1/fhir/r4
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1396792602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1487343349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5712 PONDEROSA CT",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760346037",
"telephone_number": "903-217-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 21112",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "737-279-7200",
"fax_number": "737-279-7300"
}
],
"practiceLocations": [
{
"address_1": "2321 Ira E Woods Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Grapevine",
"state": "TX",
"postal_code": "760518632",
"country_code": "US",
"telephone_number": "817-989-6224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARRILLO",
"first_name": "SARAH",
"middle_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-04",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1116972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 8, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.