Individual provider Active NPI

Tabitha Ross

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1922874239
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1144239 Issued in TX
Practice address
2951 FM 1460 Unit 1602
Georgetown, TX 78626-7423
Phone
(512) 612-9441
Fax
(512) 650-4420
NPI assigned
Nov 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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 1144239 TX Primary

Addresses

Primary practice location

2951 FM 1460 Unit 1602
Georgetown, TX 78626-7423

Mailing address

2951 FM 1460 Unit 1602
Georgetown, TX 78626-7423
Phone (512) 612-9441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240416003388 TX Practitioner - Nurse Practitioner 9830538388 Reassigns benefits to 2 organizations
I20260429001995 NM Practitioner - Nurse Practitioner 9830538388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2951 FM
1460 Unit 1602
Georgetown, TX 78626-7423
Phone (737) 444-1907

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1144239TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kotel Atx CurrentSince Mar 7, 2024 Accepting new patients
Serenada Mental Health PLLC Psychiatric/Mental Health CurrentSince May 23, 2025 Accepting new patients
Kotel Atx Psychiatric/Mental Health PastSince Nov 24, 2024 Accepting new patients

Locations

4201 W Parmer Ln
Ste C175
Austin, TX 78727
Phone (737) 263-2656

2951 FM 1460
Unit 1602
Georgetown, TX 78626
Phone (512) 612-9441

18707 Hardy Oak Blvd
Ste 105
San Antonio, TX 78258
Phone (512) 610-8067

2800 E Highway 114
Ste 350
Trophy Club, TX 76262
Phone (817) 490-7856

3001 Bee Caves Rd
Ste 220
West Lake Hills, TX 78746

Organizations & group practices 3

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": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1922874239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 FM 1460 UNIT 1602",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267423",
            "telephone_number": "512-612-9441",
            "fax_number": "512-650-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 FM 1460 UNIT 1602",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267423",
            "telephone_number": "512-612-9441",
            "fax_number": "512-650-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "TABITHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1144239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.