MS. JESSICA ANN LASTER (NPI# 1356853444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356853444 |
| Entity Type | Individual |
| Full Name | MS. JESSICA ANN LASTER |
| Credential | NP |
| Practice Address |
4495 Wandering Vine Trl Round Rock TX 78665-1266 |
| Mailing Address |
3101 Sw 58th Ave Apt 6106 Amarillo TX 79118-1424 |
| Practice Telephone | 8065178527 |
| Mailing Telephone | 8065178527 |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2017-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP135564 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4495 WANDERING VINE TRL |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851736243 | Jason Martin Medical Consulting LLC | General Practice | 4495 Wandering Vine Trl, Round Rock, TX 78665-1266 | 2013-04-30 |
| 1073178703 | Olaf Russell Garcia | Clinical Nurse Specialist | 4495 Wandering Vine Trl, Round Rock, TX 78665-1266 | 2019-05-08 |
| 1740747807 | Desiree Elise Norwood | Nurse Practitioner | 4495 Wandering Vine Trl, Round Rock, TX 78665-1266 | 2019-02-25 |
| 1841754355 | Kellie Nicole Achord | Physician Assistant | 4495 Wandering Vine Trl, Round Rock, TX 78665-1266 | 2019-01-29 |
| 1518460930 | Amita Aghera | Nurse Practitioner | 4495 Wandering Vine Trl, Round Rock, TX 78665-1266 | 2018-03-12 |
| 1891152948 | Christine Koestel | Nurse Practitioner | 4495 Wandering Vine Trl, Round Rock, TX 78665-1266 | 2016-01-20 |
| 1215302450 | Jess Siby | Nurse Practitioner | 4495 Wandering Vine Trl, Round Rock, TX 78665-1266 | 2015-12-13 |
| 1295105377 | Jason Martin Medical Consulting LLC | Internal Medicine | 4495 Wandering Vine Trl, Round Rock, TX 78665-1266 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657566 | Deepa Gaba | Nurse Practitioner | 5150 N A W Grimes Blvd, Round Rock, TX 78665-3311 | 2020-01-02 |
| 1306496435 | Michele Dawn Mcdonald | Nurse Practitioner | 3004 Hill St, Round Rock, TX 78664-6302 | 2019-09-20 |
| 1144569450 | Robert Dahn Mccauley | Nurse Practitioner | 4681 College Park, Round Rock, TX 78665-1526 | 2013-02-06 |
| 1639705171 | Brea Anne Wenman I | Nurse Practitioner | 201 Seton Pkwy, Round Rock, TX 78665-8000 | 2020-03-17 |
| 1255971214 | Soumya Mohanan | Nurse Practitioner | 2400 Round Rock Ave, Round Rock, TX 78681-4004 | 2020-01-08 |
| 1730650268 | Michelle Galles | Nurse Practitioner | 2400 Round Rock Ave, Round Rock, TX 78681-4004 | 2018-12-10 |
| 1528537511 | Shelly Ybanez | Nurse Practitioner | 2300 Round Rock Ave, Round Rock, TX 78681-4006 | 2018-11-19 |
| 1205371739 | Heather Parks | Nurse Practitioner | 201 Seton Pkwy, Round Rock, TX 78665-8000 | 2016-12-19 |
| 1629510219 | Hannah Marburger | Nurse Practitioner | 2410 Round Rock Ave Ste 150, Round Rock, TX 78681 | 2016-11-14 |
| 1134575103 | Audra J. Sunderland | Nurse Practitioner | 201 Seton Pkwy, Round Rock, TX 78665-8000 | 2016-05-10 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on MS. JESSICA ANN LASTER.
| 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.