MARY ELLEN P AUTRY (NPI# 1578607255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578607255 |
| Entity Type | Individual |
| Full Name | MARY ELLEN P AUTRY |
| Credential | RD |
| Practice Address |
12221 Mopac Expressway North Austin TX 78758-2483 |
| Practice Telephone | 5129014005 |
| Practice Fax Number | 5129013905 |
| Mailing Telephone | 5129014005 |
| Mailing Fax Number | 5129013905 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT04637 | TX | Dietary & Nutritional Service Providers |
| Street Address |
12221 MOPAC EXPRESSWAY NORTH |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399398 | Thomas C. Brown | Surgery | 12221 Mopac Expressway North, Austin, TX 78758 | 2005-07-08 |
| 1558555706 | Austin Diagnostic Clinic | Pediatrics | 12221 Mopac Expressway North, Austin, TX 78758-2483 | 2007-08-30 |
| 1194941138 | Randy Honish | Specialist/Technologist, Other | 12221 Mopac Expressway North, Austin, TX 78758-2483 | 2007-04-18 |
| 1528193059 | Austin Diagnostic Clinic Pa | Internal Medicine | 12221 Mopac Expressway North, Austin, TX 78758-2483 | 2007-02-23 |
| 1245327980 | Austin Diagnostic Clinic | Durable Medical Equipment & Medical Supplies | 12221 Mopac Expressway North, Austin, TX 78758-2483 | 2006-10-06 |
| 1720028822 | Rebecca Wright | Physical Therapist | 12221 Mopac Expressway North, Austin, TX 78758-2483 | 2006-06-07 |
| 1073560991 | Linda J. Cook | Registered Nurse | 12221 Mopac Expressway North, Austin, TX 78758-2483 | 2006-05-27 |
| 1245287150 | Nancy A Dasso | Nurse Practitioner | 12221 Mopac Expressway North, Austin, TX 78758-2483 | 2006-05-27 |
| 1659328581 | Brenda S. Forbes | Optometrist | 12221 Mopac Expressway North, Austin, TX 78758-2483 | 2006-05-27 |
| 1972553303 | Sheila B. Patel | Physical Medicine & Rehabilitation | 12221 Mopac Expressway North, Austin, TX 78758-2483 | 2006-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
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| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507971 | Wendy Snowden | Dietitian, Registered | 11223 Kingsgate Dr, Austin, TX 78748-3435 | 2020-10-29 |
| 1104423797 | Mariam Maaz Eid | Dietitian, Registered | 8421 Etienne Cv, Austin, TX 78759-8201 | 2020-10-06 |
| 1518564467 | Elizabeth Hill | Dietitian, Registered | 6500 Champion Grandview Way Apt 22105, Austin, TX 78750-8388 | 2020-10-05 |
| 1891302006 | Allison Marie Mcnulty | Dietitian, Registered | 2823 E Mlk Jr Blvd Apt 2329, Austin, TX 78702-0038 | 2020-09-30 |
| 1972110856 | Kristen Whittington | Dietitian, Registered | 3715 S 1st St Apt 272, Austin, TX 78704-0103 | 2020-09-25 |
| 1982218897 | Clara Di Vincenzo | Dietitian, Registered | 1601 Trinity St Stop A, Austin, TX 78712-1766 | 2020-09-08 |
| 1609492636 | Sarah Jane Doerffler | Dietitian, Registered | 13201 Legendary Dr Apt 6202, Austin, TX 78727-4035 | 2020-06-25 |
| 1982227021 | Adee Levinstein | Dietitian, Registered | 11328 Church Canyon Dr, Austin, TX 78754-5900 | 2020-05-23 |
| 1770106940 | Julia Todd | Dietitian, Registered | 1801 E 51st St Bldg G, Austin, TX 78723-3434 | 2020-05-22 |
| 1700414885 | Kelli Jo Webb | Dietitian, Registered | 911 W 38th St Ste 201, Austin, TX 78705-1107 | 2020-04-01 |
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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.