SARA JEAN LINEDECKER (NPI# 1629484852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629484852 |
Entity Type | Individual |
Full Name | SARA JEAN LINEDECKER |
Credential | PHARMD |
Practice Address |
2200 Park Bend Dr Bldg 1, Ste 300 Austin TX 78758-5387 |
Practice Telephone | 5123811708 |
Practice Fax Number | 5124906515 |
Mailing Telephone | 5123811708 |
Mailing Fax Number | 5124906515 |
Enumeration Date | 2014-07-08 |
Last Update Date | 2016-09-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 26025063A | IN | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 54853 | TX | Pharmacy Service Providers |
Street Address |
2200 PARK BEND DR BLDG 1, STE 300 |
City | AUSTIN |
State | TX |
Zip Code | 78758-5387 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134115595 | Richard B Stovall | Neurological Surgery | 2200 Park Bend Dr, Bldg 2, Ste 201, Austin, TX 78758-5388 | 2005-09-21 |
1811410392 | Brenda Cobian Olmos | Nurse Practitioner | 2200 Park Bend Dr, Austin, TX 78758-5387 | 2017-07-17 |
1538610274 | Rockdale Blackhawk, LLC | General Practice | 2200 Park Bend Dr, Bldg 2-301, Austin, TX 78758-5387 | 2016-10-18 |
1538612981 | Lily Swann | Physical Therapist | 2200 Park Bend Dr, Austin, TX 78758-5387 | 2016-08-02 |
1669826376 | Antionne Harp | Chiropractor | 2200 Park Bend Dr, Suite 300, Austin, TX 78758-5387 | 2016-04-19 |
1699154716 | Cs Surgical Pllc | Physician Assistant | 2200 Park Bend Dr, Ste 2-201, Austin, TX 78758-5387 | 2015-05-21 |
1699169276 | Tessa Gibbs | Nurse Practitioner | 2200 Park Bend Dr, Building 1 Suite 201, Austin, TX 78758-5388 | 2015-03-23 |
1063815769 | Neva M. Schmelzer | Nurse Practitioner | 2200 Park Bend Dr, Bldg 1, Suite 401, Austin, TX 78758-5387 | 2014-10-08 |
1851790083 | Matthew Gieringer | Physical Therapist | 2200 Park Bend Dr, Building 1 Suite 202, Austin, TX 78758-5387 | 2014-08-13 |
1689097248 | Linh V. Ong | Nurse Anesthetist, Certified Registered | 2200 Park Bend Dr, Bldg 1, Suite 201, Austin, TX 78758-5387 | 2014-01-31 |
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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 |
Find all providers in zip 78758 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730780230 | Han Nguyen | Pharmacist | 12900 N Interstate 35 Ste 5, Austin, TX 78753-1054 | 2020-11-03 |
1164022620 | Casey Nicole Franklin | Pharmacist | 13201 N Fm 620 Rd, Austin, TX 78717-1011 | 2020-10-26 |
1811595648 | Lisa Nguyen | Pharmacist | 6908 Colorado Bluffs Rd, Austin, TX 78744-3330 | 2020-10-14 |
1184231680 | Caroline Nguyen | Pharmacist | 12900 N Ih 35, Austin, TX 78753-1049 | 2020-09-29 |
1063028074 | Deepika Mcconnell | Pharmacist | 2102 Peach Tree St, Austin, TX 78704-2843 | 2020-09-16 |
1982218004 | Cassey Gracey | Pharmacist | 3201 Bee Caves Rd Ste 132, Austin, TX 78746-6777 | 2020-09-04 |
1518579440 | Cassandra Castillo | Pharmacist | 5908 Daly Dr, Austin, TX 78747-4101 | 2020-08-21 |
1194336834 | Shalini Tripathi | Pharmacist | 11506 Heathrow Dr, Austin, TX 78759-4428 | 2020-08-15 |
1528682986 | Charlotte C Boyce | Pharmacist | 4150 Freidrich Ln Ste I, Austin, TX 78744-1052 | 2020-06-02 |
1295356723 | Victoria Tackett | Pharmacist | 12005 Bee Caves Rd Ste 1a, Austin, TX 78738-6387 | 2020-05-06 |
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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.