Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tabitha Ann Cantrell

Individual provider Nurse Practitioner · NPI 1104788736

Tabitha Ann Cantrell is a Nurse Practitioner in Austin, Texas. Qualified in 2021, 5 years ago. Practices with Austin Geriatric Specialists PLLC, a 61-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

11624 Jollyville Rd Apt 538
Austin, TX 78759-2455
Phone: (512) 680-5028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1193337 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 1193337 (TX)

Record details

NPI number1104788736
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2025
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address11624 Jollyville Rd Apt 538, Austin, TX 78759-2455

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Austin Geriatric Specialists Pllc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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