BUKOLA SUKURAT AZEEZ (NPI# 1457776064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457776064 |
Entity Type | Individual |
Full Name | BUKOLA SUKURAT AZEEZ |
Credential | FNP |
Practice Address |
825 E Rundberg Ln Austin TX 78753-4808 |
Practice Telephone | 5129789600 |
Practice Fax Number | 5129019726 |
Mailing Telephone | 5129789600 |
Mailing Fax Number | 5129019726 |
Enumeration Date | 2014-02-19 |
Last Update Date | 2015-01-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP125090 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
825 E RUNDBERG LN |
City | AUSTIN |
State | TX |
Zip Code | 78753-4808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528013281 | David Vander Straten | Family Medicine | 825 E Rundberg Ln, #f, Austin, TX 78753-4808 | 2006-05-23 |
1801429956 | Erin Byars | Registered Nurse | 825 E Rundberg Ln, Austin, TX 78753-4808 | 2020-02-18 |
1013478320 | John Robert Benson | Nurse Practitioner | 825 E Rundberg Ln, Austin, TX 78753-4808 | 2019-03-28 |
1508323288 | Elizabeth Ann Banks | Counselor | 825 E Rundberg Ln, Austin, TX 78753-4808 | 2019-02-28 |
1437437282 | Aleeahna Phan | Dentist | 825 E Rundberg Ln, Suite A1, Austin, TX 78753-4808 | 2011-07-27 |
1104133610 | Sharmin Hasnat Khan | Dentist | 825 E Rundberg Ln, Suite A-1, Austin, TX 78753-4808 | 2010-09-03 |
1962731505 | Access Orthodontics of Rundberg Pa | Dentist | 825 E Rundberg Ln, Suite A-1, Austin, TX 78753-4808 | 2009-12-10 |
1275861924 | Yu Yu Khin | Internal Medicine | 825 E Rundberg Ln, Suite B1, Austin, TX 78753-4808 | 2009-11-18 |
1679704076 | Manjusha Tummala | Dentist | 825 E Rundberg Ln, A1, Austin, TX 78753-4808 | 2009-08-03 |
1588895379 | Cindy Luu | Pharmacist | 825 E Rundberg Ln, Austin, TX 78753-4808 | 2009-07-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
Find all providers in zip 78753 |
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 |
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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.