MRS. SHANNON PATTESON (NPI# 1245427012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245427012 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON PATTESON |
| Credential | F.N.P. |
| Practice Address |
11521 Ranch Rd 620 N Austin TX 78726-1139 |
| Practice Telephone | 5126870556 |
| Practice Fax Number | 5126870560 |
| Mailing Telephone | 5126870556 |
| Mailing Fax Number | 5126870560 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2009-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
669159 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11521 RANCH RD 620 N |
| City | AUSTIN |
| State | TX |
| Zip Code | 78726-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598899445 | Keith Edward Campbell | Physician Assistant | 11521 Ranch Rd 620 N, Austin, TX 78726-1139 | 2007-03-15 |
| 1548697998 | Medspring Prime, Pa | Clinic/Center | 11521 Ranch Rd 620 N, Austin, TX 78726-1139 | 2013-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104385152 | Meridian Preferred Network, LLC | Durable Medical Equipment & Medical Supplies | 11512 Tibee Drive, Austin, TX 78726 | 2019-03-19 |
| 1356709083 | Britex | Dentist | 10200 Boulder Lane, #300, Austin, TX 78726 | 2016-02-09 |
| 1205224490 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7300 N Fm 620, Austin, TX 78726 | 2014-12-23 |
| 1881933372 | Judy Ann Adan | Dentist | 8300 N Fm 620, Bldg G Ste 100, Austin, TX 78726 | 2013-02-04 |
| 1295974236 | Brendan Booker Loehr | Dentist | Britex Dental 10200 Boulder Lane, Suite 300, Austin, TX 78726 | 2009-02-16 |
| 1174730980 | David Eugene Helms | Counselor | 12112 Anderson Mill Rd, Bldg 12 Ste E, Austin, TX 78726 | 2007-05-17 |
| 1013037480 | Four Points Dental Pa | Dentist | 7301 North Fm 620, Suite 150, Austin, TX 78726 | 2007-03-30 |
| 1043329469 | H-e-b, Lp | Clinical Medical Laboratory | 7301 N Fm 620, Austin, TX 78726 | 2006-08-30 |
| 1063521037 | H-e-b, Lp | Clinical Medical Laboratory | 11521 North Fm 620 Building A, Austin, TX 78726 | 2006-08-30 |
| 1518934413 | Thomas Gretzinger | Dermatology | 12211 Fm 2769, Austin, TX 78726 | 2006-03-01 |
| Find all providers in zip 78726 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616992 | Nancy Toll | Nurse Practitioner | 8600 N Fm 620 Rd Apt 936, Austin, TX 78726-3535 | 2020-10-13 |
| 1003413055 | Anthony Delovino Lista | Nurse Practitioner | 311 Bowie St Apt 1215, Austin, TX 78703-5296 | 2020-10-02 |
| 1366049553 | Lauren Nicole Crider | Nurse Practitioner | 3601 S Congress Ave Ste D100, Austin, TX 78704-7205 | 2020-10-01 |
| 1366059784 | Teresa Marie Reed | Nurse Practitioner | 3921 Steck Ave Ste A120, Austin, TX 78759-8669 | 2020-09-29 |
| 1144836289 | Amy Silva | Nurse Practitioner | 1824 Rainy Meadows Dr, Austin, TX 78758-3518 | 2020-09-22 |
| 1326652470 | Carolyn Lee Stanford | Nurse Practitioner | 14902 Crosscreek, Austin, TX 78737-8904 | 2020-09-06 |
| 1457965899 | Lorie Kmetz | Nurse Practitioner | 1907 Alguno Rd, Austin, TX 78757-3220 | 2020-09-02 |
| 1184238735 | Amanda Kanski | Nurse Practitioner | 9525 N Capital of Texas Hwy Unit 416, Austin, TX 78759-7294 | 2020-09-01 |
| 1487265013 | Lisa Karen Brogan | Nurse Practitioner | 1805 Forest Hill Dr, Austin, TX 78745-1720 | 2020-08-17 |
| 1992316327 | Mona Saberi | Nurse Practitioner | 15024 Calaveras Dr, Austin, TX 78717-4577 | 2020-08-10 |
| 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.