CONNIE STERRITT (NPI# 1093780553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093780553 |
| Entity Type | Individual |
| Full Name | CONNIE STERRITT |
| Credential | P.A. |
| Practice Address |
4419 Frontier Trl Suite 110 Austin TX 78745-1686 |
| Practice Telephone | 5124447208 |
| Practice Fax Number | 5124442343 |
| Mailing Telephone | 5124447208 |
| Mailing Fax Number | 5124442343 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | PA02177 | TX | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA02177 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RAILROAD | 970013464 | 01 |
| Street Address |
4419 FRONTIER TRL SUITE 110 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609251107 | Southwest Skin and Vein Center Pllc | Dermatology | 4419 Frontier Trl, Ste 110, Austin, TX 78745-1686 | 2015-07-25 |
| 1982965372 | Kimberly Jane Layne | Nutritionist | 4419 Frontier Trl, Suite 106, Austin, TX 78745-1686 | 2012-06-03 |
| 1770880007 | Michael Graves | Dermatology | 4419 Frontier Trl, Ste 110, Austin, TX 78745-1686 | 2011-02-23 |
| 1437465978 | Total Sleep Diagnostics, Inc. | Clinic/Center | 4419 Frontier Trl, Ste 105, Austin, TX 78745-1686 | 2010-08-22 |
| 1679888903 | Kimberly Anne Cammerata Barr | Acupuncturist | 4419 Frontier Trl, #106, Austin, TX 78745-1686 | 2010-08-11 |
| 1275778029 | Gn Hearing Dba Beltone | Hearing Aid Equipment | 4419 Frontier Trl, Suite 109, Austin, TX 78745-1686 | 2008-12-09 |
| 1558547182 | South Austin Dental Associates | Dentist | 4419 Frontier Trl, Suite 104, Austin, TX 78745-1686 | 2008-01-14 |
| 1063627941 | Hildy Dinkins | Psychologist | 4419 Frontier Trl, Suite 103, Austin, TX 78745-1686 | 2007-05-13 |
| 1154469427 | John D. Chelkowski | Dentist | 4419 Frontier Trl, Ste. 104, Austin, TX 78745-1686 | 2007-02-01 |
| 1760564009 | Michael L. Butcher | Dentist | 4419 Frontier Trl, Suite 104, Austin, TX 78745-1686 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| 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.