JUDITH JOSEPH CHEDVILLE (NPI# 1336497650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336497650 |
| Entity Type | Individual |
| Full Name | JUDITH JOSEPH CHEDVILLE |
| Credential | RN, ACNS-BC |
| Practice Address |
3828 S 1st St Austin TX 78704-7048 |
| Mailing Address |
4515 Seton Center Pkwy Suite 215 Austin TX 78759-5290 |
| Practice Telephone | 5124431311 |
| Practice Fax Number | 5124066266 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 775817 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
775817 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 321951101 | 05 | |
| TX | 321951102 | 05 |
| Street Address |
3828 S 1ST ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578550919 | Jairo L Bermudez | Internal Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2005-09-30 |
| 1194117119 | Beverly Anne Butler | Clinical Nurse Specialist | 3828 S 1st St, Austin, TX 78704-7048 | 2015-02-27 |
| 1295127306 | Phillip Kirk Atkins | Nurse Practitioner | 3828 S 1st St, Austin, TX 78704-7048 | 2015-02-26 |
| 1710307962 | Jonathan Alan Lee | Family Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2014-04-25 |
| 1699108050 | Dana Marie Garcia | Family Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2013-08-20 |
| 1447482161 | Kathleen Leslie Kraft | Nurse Practitioner | 3828 S 1st St, Austin, TX 78704-7048 | 2009-08-13 |
| 1497981625 | Sharon Liu | Internal Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2009-06-02 |
| 1649429556 | Omerine Yembe Aseh | Family Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2008-09-16 |
| 1720286347 | Hope Folarin | Internal Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2007-07-05 |
| 1932220704 | Marina Sanchez-ellig | Family Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2007-04-02 |
| 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 | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1831680040 | Carmen Floy Lagrone | Clinical Nurse Specialist | 6901 Mckinney Falls Pkwy, Austin, TX 78744-8401 | 2018-05-23 |
| 1932637378 | Virginia Ducote Remeny | Clinical Nurse Specialist | 4316 Companeros Way, Austin, TX 78749-3650 | 2017-05-30 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| 1003429986 | Ryan Webb | Clinical Nurse Specialist | 12731 Research Blvd Ste B200, Austin, TX 78759-4387 | 2020-08-28 |
| 1083267702 | Gregory Adrian Greenberg | Clinical Nurse Specialist | 1301 W 38th St Ste 403, Austin, TX 78705-1013 | 2019-07-22 |
| 1093372955 | Gremar Corpuz | Clinical Nurse Specialist | 1500 Red River St, Austin, TX 78701-1918 | 2019-05-24 |
| 1699277756 | Evelina Joanna Kaminski | Clinical Nurse Specialist | 1020 W 34th St, Austin, TX 78705-2009 | 2018-03-05 |
| 1588164263 | Adrienne Alexandra Brenner | Clinical Nurse Specialist | 1500 Red River St, Austin, TX 78701-1918 | 2018-02-19 |
| 1225553688 | Joseph Christopher Lord | Clinical Nurse Specialist | 3215 Steck Ave Ste 200, Austin, TX 78757-8060 | 2017-08-07 |
| 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.