AMANDA CHRISTINE HALLE (NPI# 1063869022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063869022 |
| Entity Type | Individual |
| Full Name | AMANDA CHRISTINE HALLE |
| Credential | MD |
| Practice Address |
12200 Renfert Way Ste 100 Austin TX 78758 |
| Mailing Address |
2401 S 31st St Dept of Obstetrics and Gynecology Temple TX 76508-0001 |
| Practice Telephone | 5124518211 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | BP10057655 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAL LICENSE | S5177 | 01 |
| Street Address |
12200 RENFERT WAY STE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114376 | Screven T Edgerton | Obstetrics & Gynecology | 12200 Renfert Way, Ste 100, Austin, TX 78758-5614 | 2005-06-14 |
| 1013409978 | Madison Bailey Webb | Nurse Practitioner | 12200 Renfert Way, Austin, TX 78758-5653 | 2018-06-05 |
| 1871042887 | Shelie Moore | Nurse Practitioner | 12200 Renfert Way, Austin, TX 78758-5653 | 2016-10-03 |
| 1285079483 | Luis Alberto Monsivais | Obstetrics & Gynecology | 12200 Renfert Way, Austin, TX 78758-5653 | 2013-05-02 |
| 1104170901 | Aa Obgyn Pllc | Obstetrics & Gynecology | 12200 Renfert Way, Ste 100, Austin, TX 78758-5614 | 2012-10-31 |
| 1316207269 | Alyson Danelle Garcia | Obstetrics & Gynecology | 12200 Renfert Way, Austin, TX 78758-5653 | 2012-05-25 |
| 1497045561 | Jacqueline B Lockwood | Nurse Practitioner | 12200 Renfert Way, Suite 100, Austin, TX 78758-5614 | 2011-04-11 |
| 1366731770 | Javier Antonio Aguirre | Obstetrics & Gynecology | 12200 Renfert Way, Suite, Austin, TX 78758-5653 | 2011-04-06 |
| 1063718393 | Brooke Ballases Beebe | Physician Assistant | 12200 Renfert Way, Ste 100, Austin, TX 78758-5614 | 2011-02-03 |
| 1821229568 | St. David's Specialized Women's Services, Pllc | Obstetrics & Gynecology | 12200 Renfert Way, Suite G-3, Austin, TX 78758-5614 | 2009-07-29 |
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| 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 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1326578477 | Mallory Monda | Obstetrics & Gynecology | 1301 W. 38th St., Suite 705, Ut Austin Dell Medical School-obgyn, Medical Park Tower, Austin, TX 78705-1016 | 2017-06-12 |
| 1528508389 | Whole Woman's Health Alliance | Obstetrics & Gynecology | 4100 Duval Rd Ste 201, Austin, TX 78759-3550 | 2017-02-27 |
| 1568841815 | Veronica Gonzalez | Obstetrics & Gynecology | 1313 Red River St., Suite A1 Ut Austin Dell Medical School Ob/gyn, Austin, TX 78701-1943 | 2015-05-20 |
| 1033506118 | Sharon Vaz | Obstetrics & Gynecology | 11111 Research Blvd Ste 475, Austin, TX 78759-5283 | 2015-04-16 |
| 1902207871 | Whole Woman's Health of New Mexico LLC | Obstetrics & Gynecology | 8401 N Ih 35, Suite 1a, Austin, TX 78753-5751 | 2014-09-10 |
| 1275953168 | Zoey Roberts | Obstetrics & Gynecology | 1313 Red River St., Ste A1, Umc At Brackenridge Utsw Austin Obgyn, Austin, TX 78701 | 2014-04-18 |
| 1316381148 | Kristin Sarah Tabor | Obstetrics & Gynecology | 12201 Renfert Way Ste 200, Austin, TX 78758-5368 | 2013-04-23 |
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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.