MARTHA SUE CARRELL (NPI# 1154471936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154471936 |
| Entity Type | Individual |
| Full Name | MARTHA SUE CARRELL |
| Credential | OTR |
| Practice Address |
1701 W Ben White Blvd Suite 100b Austin TX 78704-7667 |
| Mailing Address |
9903 Briar Ridge Dr Austin TX 78748-5942 |
| Practice Telephone | 5124401441 |
| Practice Fax Number | 5124401448 |
| Mailing Telephone | 5122803516 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 100307 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE | 100307 | 01 |
| TX | BCBS | 8T1856 | 01 |
| Street Address |
1701 W BEN WHITE BLVD SUITE 100B |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225015530 | Ara/st. David's Imaging, Lp | Clinic/Center | 1701 W Ben White Blvd, Suite 170, Austin, TX 78704-7667 | 2005-12-28 |
| 1932626785 | Connie Cheng | Dietitian, Registered | 1701 W Ben White Blvd, Austin, TX 78704-7667 | 2017-08-23 |
| 1093155137 | Luis Alberto Rincon | Physical Therapist | 1701 W Ben White Blvd, Ste. 100b, Austin, TX 78704-7667 | 2013-07-03 |
| 1639460348 | Jennifer Gaye Pierre Louis | Clinic/Center | 1701 W Ben White Blvd, Suite 100b, Austin, TX 78704-7667 | 2011-04-28 |
| 1457589020 | Andrea Kay Friesenhahn | Physical Therapist | 1701 W Ben White Blvd, Suite 100b, Austin, TX 78704-7667 | 2009-06-23 |
| 1982804274 | Austin Internal Medicine Clinic, Pa | Internal Medicine | 1701 W Ben White Blvd, Suite 140, Austin, TX 78704-7667 | 2007-07-24 |
| 1295885903 | Martha Michelle Slimp | Physical Therapist | 1701 W Ben White Blvd, Suite 100b, Austin, TX 78704-7667 | 2007-01-12 |
| 1023103819 | Satellite Healthcare Central States LLC | Clinic/Center | 1701 W Ben White Blvd, Ste 180, Austin, TX 78704-7680 | 2006-10-04 |
| 1720181100 | Susan Chapman Hennigan | Physical Therapist | 1701 W Ben White Blvd, Ste 100b, Austin, TX 78704-7646 | 2006-09-07 |
| 1134150204 | Capital Dialysis of Texas | Clinic/Center | 1701 W Ben White Blvd, Suite 180, Austin, TX 78704-7667 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487119020 | Crossover Health Medical Group | Specialist | 10801 Giles Ln Bldg 30, Austin, TX 78754-9702 | 2019-02-07 |
| 1134602840 | Paula Gayle Collins | Specialist | 4619 S Congress Ave Ste A, Austin, TX 78745-2342 | 2018-09-09 |
| 1366977050 | Crossover Health Medical Group | Specialist | 6300 Bee Caves Rd, Austin, TX 78746-5832 | 2017-05-01 |
| 1356791313 | Coraly Serrano | Specialist | 805 Stark St, Austin, TX 78756-1508 | 2016-06-20 |
| 1255789442 | Bruce Simmons | Specialist | 507 1st St Nw, Austin, MN 55912-3019 | 2016-05-27 |
| 1871951343 | Antse Atanga | Specialist | 3324 Rr 620 S, Austin, TX 78738-6804 | 2016-01-29 |
| 1952793572 | Michaela Rose Tierney | Specialist | 2900 S 1st St Apt 713, Austin, TX 78704-6372 | 2015-02-19 |
| 1194123562 | Allyse Kramer | Specialist | 2139 San Jacinto Blvd, Nez B1.024a, Austin, TX 78712-1753 | 2014-12-16 |
| 1477953347 | Shonna Skarda | Specialist | 12591 Research Blvd, Ste 201, Austin, TX 78759-2248 | 2014-08-28 |
| 1598173833 | Karrie Eubank Marks | Specialist | 12129 Ranch Road 620 N Ste 540, Austin, TX 78750-1096 | 2014-07-31 |
| 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.