Individual provider Active NPI

Deepa P Karunakaran, FNP

  • Nurse Practitioner
  • Bastrop, TX
National Provider Identifier
1508485434
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP144564 Issued in TX
Practice address
430 Old Austin Hwy
Bastrop, TX 78602-5168
Phone
(512) 321-3527
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP144564 TX Primary

Addresses

Primary practice location

430 Old Austin Hwy
Bastrop, TX 78602-5168

Mailing address

4495 Wandering Vine TRL
Round Rock, TX 78665-1266
Phone (512) 840-1158

Other practice location 1

503 Old Austin Hwy
Bastrop, TX 78602-5091
Phone (512) 321-6220

Other practice location 2

9801 S 1st St
Austin, TX 78748-6760
Phone (512) 292-3071

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
I20200520000054 TX Practitioner - Nurse Practitioner 5890126288 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144564TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Martin Medical Consulting LLC CurrentSince May 1, 2020 Accepting new patients
Aco Jason Martin Medical Consulting Nurse Practitioner PastSince Aug 3, 2025 Accepting new patients

Locations

9801 S 1st St
Austin, TX 78748
Phone (512) 292-3071

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

4207 Burnet Rd
Ste 1320
Austin, TX 78756
Phone (512) 706-1900

503 Old Austin Hwy
Bastrop, TX 78602
Phone (512) 321-6220

430 Old Austin Hwy
Bastrop, TX 78602
Phone (512) 262-0821

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1508485434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 WANDERING VINE TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651266",
            "telephone_number": "512-840-1158",
            "fax_number": "512-777-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 OLD AUSTIN HWY",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025168",
            "telephone_number": "512-321-3527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Old Austin Hwy",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786025091",
            "country_code": "US",
            "telephone_number": "512-321-6220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9801 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486760",
            "country_code": "US",
            "telephone_number": "512-292-3071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARUNAKARAN",
        "first_name": "DEEPA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.