MRS. SUSANA WAYETA KATAKA (NPI# 1457470148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457470148 |
| Entity Type | Individual |
| Full Name | MRS. SUSANA WAYETA KATAKA |
| Other Name | SUSANA WAYETA KATAKA |
| Credential | N.P. |
| Practice Address |
3950 N A W Grimes Blvd Ste N201 Round Rock TX 78665-3540 |
| Mailing Address |
205 E University Ave Ste 200 Georgetown TX 78626-6821 |
| Practice Telephone | 8778005722 |
| Mailing Telephone | 5126860207 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 680495 | TX | Allopathic & Osteopathic Physicians |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
680495 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3950 N A W GRIMES BLVD STE N201 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-3540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770017378 | Julia David | Nurse Practitioner | 3950 N A W Grimes Blvd Ste N201, Round Rock, TX 78665-3540 | 2017-04-20 |
| 1326488362 | Amena Dossul | Pediatrics | 3950 N A W Grimes Blvd Ste N201, Round Rock, TX 78665-3540 | 2013-07-03 |
| 1447489547 | Denise L Pautler | Pediatrics | 3950 N A W Grimes Blvd Ste N201, Round Rock, TX 78665-3540 | 2009-07-09 |
| 1093960718 | Chinwe Oyeronke Efuribe | Pediatrics | 3950 N A W Grimes Blvd Ste N201, Round Rock, TX 78665-3540 | 2008-11-21 |
| 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 | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942450713 | Joy Harris | Nurse Practitioner | 3950 N Aw Grimes Blvd, Ste. N103, Round Rock, TX 78665-3540 | 2008-09-29 |
| 1912564121 | Emily Carol Carder | Nurse Practitioner | 894 Summit St Ste 108, Round Rock, TX 78664-4370 | 2019-05-22 |
| 1023485562 | Cheryl Bush | Nurse Practitioner | 3950 N A W Grimes Blvd Ste N103, Round Rock, TX 78665-3540 | 2015-09-01 |
| 1336464858 | Kimberly N Blankenship | Nurse Practitioner | 3950 N A W Grimes Blvd, Round Rock, TX 78665-3540 | 2010-03-29 |
| 1134364078 | Margaret Jean Adams | Nurse Practitioner | 302 University Blvd, Round Rock, TX 78665-1032 | 2008-12-05 |
| 1295836393 | Audrey Ann Baum | Nurse Practitioner | 301 Seton Pkwy, Suite 405, Round Rock, TX 78665-8002 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809074 | Christine Depardo | Nurse Practitioner | 6161 State Hwy 161 Fl 3, Irving, TX 75038-2220 | 2020-10-20 |
| 1457968232 | Brenda Lynn Franke | Nurse Practitioner | 1501 Creekside Dr, Richardson, TX 75081-2913 | 2020-09-25 |
| 1073127031 | Jennifer Barbosa | Nurse Practitioner | 6065 Sports Village Rd Ste 600, Frisco, TX 75033-3591 | 2020-09-06 |
| 1619594744 | Elm Midwifery and Womens Health LLC | Nurse Practitioner | 4458 Medical Dr Ste 470, San Antonio, TX 78229-3748 | 2020-07-06 |
| 1417571969 | Viviana S Navar | Nurse Practitioner | 1440 George Dieter Dr # A, El Paso, TX 79936-7601 | 2020-06-01 |
| 1457988461 | Sarah Elizabeth Higgins | Nurse Practitioner | 8060 Park Ln, Dallas, TX 75231-5912 | 2020-03-27 |
| 1235779760 | Tracy Woods | Nurse Practitioner | 5846 Piedmont Gln, San Antonio, TX 78249-4876 | 2020-01-13 |
| 1801436340 | Sarah Olivia Menotti | Nurse Practitioner | 3828 Hughes Ct Ste 104, Dickinson, TX 77539-6235 | 2020-01-13 |
| 1902457302 | Dalia Paul | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Road, Suite 3, Mcallen, TX 78503 | 2019-09-26 |
| 1255982260 | Betty Philips | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Rd, Suite 3, Mcallen, TX 78503 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on MRS. SUSANA WAYETA KATAKA.
| 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.