JUDY CHAN (NPI# 1477058402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477058402 |
Entity Type | Individual |
Full Name | JUDY CHAN |
Practice Address |
2409 University Ave Austin TX 78712-1112 |
Mailing Address |
4600 Elmont Dr Apt 3212 Austin TX 78741-1745 |
Practice Telephone | 5124711737 |
Enumeration Date | 2018-03-30 |
Last Update Date | 2018-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | TX | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457706517 | Judy Chan | Physical Therapist | 309 E Linda Vista Ave, Alhambra, CA 91801-4815 | 2016-04-26 |
1598120669 | Judy Chan | Physician Assistant | 764 Neath Ave, Las Vegas, NV 89178-1268 | 2015-12-16 |
1801899117 | Judy Chan | Optometrist | 8400 Ne Vancouver Mall Loop, Suite 110, Vancouver, WA 98662-6648 | 2005-05-31 |
1427532241 | Judy Chan | Occupational Therapist | 16 Sumner Pl, Brooklyn, NY 11206-4110 | 2018-09-18 |
1801063995 | Judy P. Chan | Physician Assistant | 234 E 149th St, Bronx, NY 10451-5504 | 2008-05-08 |
1639390214 | Judy Lai Yee Chan | Nurse Practitioner | 8600 Old Georgetown Road, Suburban Hospital, Bethesda, MD 20814 | 2007-05-01 |
1215085279 | Judy S. Chan | Optometrist | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-01-08 |
1093826620 | Judy H. Chan | Nurse Practitioner | 1421 E 17th St, Santa Ana, CA 92705-8505 | 2006-08-31 |
Street Address |
2409 UNIVERSITY AVE |
City | AUSTIN |
State | TX |
Zip Code | 78712-1112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376575753 | J Nile Barnes | Emergency Medical Technician, Paramedic | 2409 University Ave, U of Texas College of Pharmacy, Austin, TX 78712-1112 | 2006-07-07 |
1053942896 | Hannah Kassler | Student in an Organized Health Care Education/Training Program | 2409 University Ave, Austin, TX 78712-1112 | 2020-01-30 |
1033740873 | Melanie Mary Sokol | Student in an Organized Health Care Education/Training Program | 2409 University Ave, Austin, TX 78712-1112 | 2020-01-30 |
1154952919 | Leslie Suzanne Coats | Pharmacy | 2409 University Ave, Austin, TX 78712-1112 | 2020-01-30 |
1538790399 | Adriana Weiser | Pharmacy | 2409 University Ave, Austin, TX 78712-1112 | 2020-01-30 |
1063043883 | Alex Sim | Student in an Organized Health Care Education/Training Program | 2409 University Ave, Austin, TX 78712-1112 | 2020-01-30 |
1508497306 | Derek Tran | Student in an Organized Health Care Education/Training Program | 2409 University Ave, Austin, TX 78712-1112 | 2020-01-30 |
1457982662 | Anne Marie Bledsoe | Student in an Organized Health Care Education/Training Program | 2409 University Ave, Austin, TX 78712-1112 | 2020-01-28 |
1912538034 | Michaela Rose Clague | Student in an Organized Health Care Education/Training Program | 2409 University Ave, Austin, TX 78712-1112 | 2020-01-28 |
1407487770 | Allison Noelle Vencill | Pharmacy Technician | 2409 University Ave, Austin, TX 78712-1112 | 2020-01-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629681887 | Sarah Mae Clifford | Specialist/Technologist | 405 E 23rd Street, Austin, TX 78712 | 2020-08-27 |
1013533603 | Caleb Montgomery Burleson | Specialist/Technologist | College of Education 1912 Speedway, Stop D5000, Austin, TX 78712 | 2020-06-19 |
1215550025 | Javier Benitez | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School General Surgery, 1500 Red River St., Austin, TX 78712 | 2020-05-27 |
1396382552 | H-e-b, Lp | Clinical Medical Laboratory | 1601 Trinity St Bldg A Ste 105, Austin, TX 78712 | 2019-12-06 |
1427693928 | The University of Texas At Austin | Psychologist | 100 W Dean Keeton St., Austin, TX 78712 | 2019-11-08 |
1013565803 | Chidinma Abengowe | Specialist/Technologist | 2015 San Jacinto Blvd, Austin, TX 78712 | 2019-08-27 |
1073010724 | Qaisar Alshebani | Internal Medicine | Ut Austin Dell Medical School, Dell Seton Medical Center 1500 Red River Rd, Austin, TX 78712 | 2018-04-10 |
1073066239 | The University of Texas At Austin | General Practice | 1601 Trinity Street, Austin, TX 78712 | 2016-07-25 |
1184081176 | Nahar Albudoor | Speech-Language Pathologist | 2504 A Whitis, Cma 2.200, A1100, University of Texas At Austin Speech & Hearing Center, Austin, TX 78712 | 2016-01-21 |
1922415181 | Kelly Marie Barker | Nurse Practitioner | 1601 Trinity St Ste 704f, Austin, TX 78712 | 2014-07-18 |
Find all providers in zip 78712 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
1144847773 | Rachael Tillman | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd Fl 2, Austin, TX 78723-3079 | 2020-06-30 |
1497370639 | Patrick Dennis Scholl | Student in an Organized Health Care Education/Training Program | 5205 Backtrail Dr, Austin, TX 78731-2668 | 2020-06-13 |
1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
1215550025 | Javier Benitez | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School General Surgery, 1500 Red River St., Austin, TX 78712 | 2020-05-27 |
1952924276 | Parisa Khosravi | Student in an Organized Health Care Education/Training Program | 1400 N Interstate 35 # Cec300, Austin, TX 78701-1926 | 2020-05-20 |
1659993657 | Ayan Monpara | Student in an Organized Health Care Education/Training Program | 6007 Duncanville Pass, Austin, TX 78745-3223 | 2020-05-12 |
1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
1215566856 | Vignesh Ramachandran | Student in an Organized Health Care Education/Training Program | 2110 Cliffs Edge Dr, Austin, TX 78733-6014 | 2020-04-06 |
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.