Active NPI
Deepa P Karunakaran, FNP
- Nurse Practitioner
- Bastrop, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP144564
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP144564 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Martin Medical Consulting LLC | Current | Accepting new patients | |
| Aco Jason Martin Medical Consulting | Nurse Practitioner | Past | 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.
-
- General Practice Physician
- Austin, TX
- NPI 1851736243
-
- Internal Medicine Physician
- Austin, TX
- NPI 1881578961
Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.