CARIS SUPERVILLE (NPI# 1205214673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205214673 |
Entity Type | Individual |
Full Name | CARIS SUPERVILLE |
Credential | AGPCNP |
Practice Address |
7610 W Highway 71 Suite F Austin TX 78735-8231 |
Mailing Address |
3967 Fernando Dr Euless TX 76040-3448 |
Practice Telephone | 5122880859 |
Mailing Telephone | 9406326843 |
Enumeration Date | 2015-05-18 |
Last Update Date | 2015-05-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP127762 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7610 W HIGHWAY 71 SUITE F |
City | AUSTIN |
State | TX |
Zip Code | 78735-8231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720293012 | Amy Jill Dorflinger-carr | Clinical Nurse Specialist | 7610 W Highway 71, Suite F, Austin, TX 78735-8231 | 2007-05-11 |
1871965244 | Beth Gagliardo | Physician Assistant | 7610 W Highway 71, Suite F, Austin, TX 78735-8231 | 2015-10-26 |
1831576347 | House Call Doctors | Custodial Care Facility | 7610 W Highway 71, Suite F, Austin, TX 78735-8231 | 2015-05-04 |
1578812434 | Bhawana Bista | Nurse Practitioner | 7610 W Highway 71, Ste F, Austin, TX 78735-8239 | 2012-09-06 |
1255568762 | Christina Pagano | Nurse Practitioner | 7610 W Highway 71, Suite F, Austin, TX 78735-8231 | 2009-06-11 |
1356535918 | Gary Stephens White | Physician Assistant | 7610 W Highway 71, Suite 'f', Austin, TX 78735-8231 | 2007-08-28 |
1649463399 | House Call Medical Management | Family Medicine | 7610 W Highway 71, Suite F, Austin, TX 78735-8231 | 2007-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255959748 | Si Shou Acupuncture and Wellness, Pllc | Acupuncturist | 5424 W Us Hwy 290 Service Rd, Ste #106, Austin, TX 78735 | 2020-07-10 |
1982221115 | Andrea Fackler | Counselor | 4425 S. Mopac Expressway, Building 3, Suite 503, Austin, TX 78735 | 2020-07-03 |
1134763162 | Amanda Enzbigilis | Physical Therapist | 5251 W Us Highway 290, Austin, TX 78735 | 2019-11-02 |
1427616408 | Soco Psychotherapy, Inc | Counselor | 4425 Mopac Expressway South, Bldg II, Suite 204, Austin, TX 78735 | 2019-06-04 |
1306306154 | Kelly Bolerjack | Doula | 4400 Twisted Tree Drive, Austin, TX 78735 | 2019-03-20 |
1407362619 | Sara Katherine Paules | Counselor | 4425 South Mopac Expy, Suite 502, Austin, TX 78735 | 2017-12-26 |
1851806418 | Circle Medical Care of Texas P. A. | Internal Medicine | 5424 W. Us Hwy 290, 101, Austin, TX 78735 | 2017-12-05 |
1699293266 | Derek Kalvin Vo | Dentist | 7612 W Highway 71 Ste B, Austin, TX 78735 | 2017-09-05 |
1588189013 | Rachel Caroline Boraten | Audiologist | 5625 Eiger Rd Ste 125, Austin, TX 78735 | 2017-08-05 |
1669908489 | Lesley Caldwell Ma Lpc Pllc | Counselor | 4425 South Mopac Expy., Building IIi, Suite 603, Austin, TX 78735 | 2017-05-11 |
Find all providers in zip 78735 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952804650 | Heidi Joonhee Kook-willis | Nurse Practitioner | 12731 Research Blvd Ste 301c, Austin, TX 78759-4383 | 2018-03-09 |
1639544794 | Susan Baby | Nurse Practitioner | 901 S Mopac Expressway, Building II Suite 130, Austin, TX 78746-5776 | 2015-12-01 |
1861878464 | Mary Gomez | Nurse Practitioner | 6806 Edinburgh Cv, Austin, TX 78749-2402 | 2015-08-05 |
1720310436 | Laurie Ann Ferraro | Nurse Practitioner | 4509 Norman Trl, Austin, TX 78749-1154 | 2010-02-04 |
1104909688 | Otis D Wright | Nurse Practitioner | 7005 Mira Loma Ln, Suite 102, Austin, TX 78723-1411 | 2006-10-20 |
1447287925 | Janice Moore | Nurse Practitioner | 7201 Ranch Road, 2222 Apt 3318, Austin, TX 78730-3228 | 2006-06-28 |
1023002722 | Milbrey Raney | Nurse Practitioner | 7201b Manchaca Rd, Austin, TX 78745-5259 | 2005-09-08 |
1013521780 | Sindhu Joseph | Nurse Practitioner | 6909 Burnet Ln, Austin, TX 78757 | 2020-09-01 |
1225527344 | Amber Chanel Armstrong | Nurse Practitioner | 313 E 12th St Ste 101, Austin, TX 78701-1955 | 2018-05-03 |
1811436439 | Peggy Bielke | Nurse Practitioner | 11211 Taylor Draper Ln, Austin, TX 78759-3916 | 2017-02-15 |
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.