Individual provider Active NPI

Sarah Kathryn Carrillo, DNP, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1487343349
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1116972 Issued in TX
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

Updated by the provider on Jan 8, 2025

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 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shabnam Qasim Mdpa CurrentSince Apr 2, 2024 Accepting new patients

Locations

1011 Roberts Cut Off Rd
River Oaks, TX 76114
Phone (817) 626-9744

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.