MS. CHELLYANNE HINDS (NPI# 1063486140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063486140 |
| Entity Type | Individual |
| Full Name | MS. CHELLYANNE HINDS |
| Credential | PA-C |
| Practice Address |
1210 W Braker Ln Austin TX 78758-3801 |
| Practice Telephone | 5129789300 |
| Practice Fax Number | 5122792556 |
| Mailing Telephone | 5129789300 |
| Mailing Fax Number | 5122792556 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2017-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 006136 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA05206 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PVN | 8Y4022 | 01 |
| TX | GROUP PTAN | 00Y095 | 01 |
| Street Address |
1210 W BRAKER LN |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770574659 | Constancio Concepcion | Pediatrics | 1210 W Braker Ln, Austin, TX 78758-3801 | 2005-10-31 |
| 1306455928 | Nicole Powell Cantu | Social Worker | 1210 W Braker Ln, Austin, TX 78758-3801 | 2020-07-29 |
| 1720630296 | Central Texas Community Health Centers | Pharmacy | 1210 W Braker Ln, Austin, TX 78758-3801 | 2019-07-15 |
| 1578048674 | Rosario Rodriguez | Respiratory Therapist, Registered | 1210 W Braker Ln, Austin, TX 78758-3801 | 2018-09-25 |
| 1912489527 | Randall Trey Mitchell | Dietitian, Registered | 1210 W Braker Ln, Austin, TX 78758-3801 | 2018-08-30 |
| 1093206997 | Kathryn Litten | Pharmacist | 1210 W Braker Ln, Austin, TX 78758-3801 | 2018-05-25 |
| 1932623568 | Matlin Inga Sader | Registered Nurse | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-07-25 |
| 1891218632 | Erika Michelle Schiller | Registered Nurse | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-07-24 |
| 1528598166 | Kylie Jensen | Respiratory Therapist, Registered | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-06-15 |
| 1245769223 | Kaci M Webb | Family Medicine | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1588207344 | Haley Margaret Roberts | Physician Assistant | 2200 Park Bend Dr Bldg 3-300, Austin, TX 78758-5386 | 2019-10-24 |
| 1073178901 | Ndukaku Dayton Ibe | Physician Assistant | 4411 Spicewood Springs Rd Apt 208, Austin, TX 78759-8570 | 2019-05-06 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1437607793 | Danielle Marie Werge | Physician Assistant | 6601 Vaught Ranch Rd, Suite 200, Austin, TX 78730-2307 | 2016-09-15 |
| 1831556158 | Kristin Serrano | Physician Assistant | 1524 S Interstate 35, Suite 202, Austin, TX 78704-8931 | 2016-01-16 |
| 1912309675 | Rachael Lichtenberger | Physician Assistant | 11609 Anderson Mill Rd, Austin, TX 78750-1354 | 2014-09-24 |
| 1417367707 | Sarah Caroline Moody Vance | Physician Assistant | 3000 N Interstate 35 Ste 600, Austin, TX 78705-1850 | 2014-05-07 |
| 1801165485 | Maegen Ricki Kennedy | Physician Assistant | 4107 South Captial Texas Hwy Suite 100a, Austin, TX 78704 | 2011-12-28 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.