Individual provider Active NPI

Sabrin Rahman

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1962110387
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1098448 Issued in TX
Practice address
6811 Austin Center Blvd Ste 300
Austin, TX 78731-3295
Phone
(512) 346-8888
NPI assigned
Nov 15, 2022
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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 1098448 TX Primary

Addresses

Primary practice location

6811 Austin Center Blvd Ste 300
Austin, TX 78731-3295

Mailing address

2225 Grand Lake Pkwy
Leander, TX 78641-2618
Phone (917) 436-7595

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
I20230505001411 TX Practitioner - Nurse Practitioner 3173988649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capitol Gastro, PAGroup PAC ID 9234416884, 4 clinicians

Practice addresses (Care Compare)

12701 RR 620 N
Suite 101
Austin, TX 78750-1141
Phone (512) 593-6022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1098448TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Gastro, PA CurrentSince Feb 17, 2025 Accepting new patients

Locations

12701 620 N
#101
Austin, TX 78750

12701 Ranch Road 620 N
Austin, TX 78750
Phone (512) 233-1260

12701 Ranch Road 620 N
Ste 101
Austin, TX 78750

2995 Dawn Dr
Ste 103
Georgetown, TX 78628

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24849/brand/1/csg/1/fhir/r4

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, 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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1962110387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 GRAND LAKE PKWY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412618",
            "telephone_number": "917-436-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 AUSTIN CENTER BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313295",
            "telephone_number": "512-346-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SABRIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1098448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.