Individual provider Active NPI

Tabitha Larue Holman, FNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1497254700
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135253 Issued in TX
Practice address
7500 Rialto Blvd Ste 140
Austin, TX 78735-8531
Phone
(512) 730-3060
Fax
(888) 730-1925
NPI assigned
Feb 2, 2018
Last updated
Feb 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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 AP135253 TX Primary

Addresses

Primary practice location

7500 Rialto Blvd Ste 140
Austin, TX 78735-8531

Mailing address

7500 Rialto Blvd Ste 140
Austin, TX 78735-8531
Phone (512) 730-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180323001099 TX Practitioner - Nurse Practitioner 5890057202 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Hospital Services of Texas, Inc Family CurrentSince Mar 1, 2023 Accepting new patients
Hni Medical Services CurrentSince Feb 7, 2018 Accepting new patients

Locations

75 Remittance Dr
Dept 1653
Chicago, IL 60675

12021 Metric Blvd
Austin, TX 78758
Phone (512) 228-3300

12042 Bittern Holw
Austin, TX 78758
Phone (512) 228-3350

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

4011 Williams Dr
Georgetown, TX 78628
Phone (512) 868-2700

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

7514 Kingsley St
Houston, TX 77087
Phone (713) 644-8393

422 E 18th St
Weslaco, TX 78596
Phone (956) 973-8451

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1497254700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 RIALTO BLVD STE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358531",
            "telephone_number": "512-730-3060",
            "fax_number": "888-730-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 RIALTO BLVD STE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358531",
            "telephone_number": "512-730-3060",
            "fax_number": "888-730-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "TABITHA",
        "middle_name": "LARUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.