Individual provider Active NPI

Meghan Heras

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1831957265
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1154480 Issued in TX
Practice address
3101 S Austin Ave
Georgetown, TX 78626-7541
Phone
(512) 819-1100
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1154480 TX Primary

Addresses

Primary practice location

3101 S Austin Ave
Georgetown, TX 78626-7541

Mailing address

109 Mammoth
Taylor, TX 76574-4348
Phone (210) 677-9432

Other practice location 1

109 Mammoth
Taylor, TX 76574-4348
Phone (210) 677-9432

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
I20250905002754 TX Practitioner - Nurse Practitioner 9335641612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10410 Doherty SPG
San Antonio, TX 78255-1041

4810 Spicewood Springs Rd
BLDG B
Austin, TX 78759-7838

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1154480TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elder Care Behavioral Health Services PLLC CurrentSince Aug 8, 2025 Accepting new patients

Locations

1810 Old Granger
#S
Taylor, TX 76574
Phone (512) 352-6337

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1831957265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MAMMOTH",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765744348",
            "telephone_number": "210-677-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S AUSTIN AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267541",
            "telephone_number": "512-819-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Mammoth",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "TX",
            "postal_code": "765744348",
            "country_code": "US",
            "telephone_number": "210-677-9432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERAS",
        "first_name": "MEGHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1154480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.