NICOLE LEIGH VONDALL (NPI# 1780913574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780913574 |
Entity Type | Individual |
Full Name | NICOLE LEIGH VONDALL |
Other Name | NICOLE WHEELER |
Credential | P.A. |
Practice Address |
11300 N Lamar Blvd Austin TX 78753-2665 |
Practice Telephone | 5128356751 |
Enumeration Date | 2009-12-08 |
Last Update Date | 2019-12-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA07531 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | 1090664 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
11300 N LAMAR BLVD |
City | AUSTIN |
State | TX |
Zip Code | 78753-2665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225011190 | Gloria C. Newton | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2005-11-23 |
1114532694 | Kai Zhang | Pharmacist | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2020-09-11 |
1922613652 | Rhea Ann Marie Conlu King | Pharmacist | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2020-09-10 |
1962037796 | Tina Kunnel | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2020-03-12 |
1558912485 | Sara Rodriguez | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2019-09-23 |
1285115980 | Nancy Duong | Registered Nurse | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2018-08-22 |
1477922557 | Alex Shadid | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753 | 2015-09-18 |
1154707289 | Esther Jepkoech Sitienei | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2015-07-30 |
1609970490 | Cvs Pharmacy Inc | Pharmacy | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2006-09-12 |
1558395020 | Melissa Anne Livingston | Physician Assistant | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2006-07-10 |
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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 | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
1366050353 | Katherine Elizabeth Mankus | Physician Assistant | 12319 N Mopac Expy Ste 250, Austin, TX 78758-2499 | 2020-07-16 |
1629695044 | Brittany Ho | Physician Assistant | 12601 Scofield Farms Dr, Austin, TX 78727-4542 | 2020-07-01 |
1679197925 | Malia Scott | Physician Assistant | 2217 Park Bend Dr, Austin, TX 78758-5365 | 2020-06-02 |
1659992451 | Christopher Kent Brown | Physician Assistant | 2200 W 35th St Bldg 8, Austin, TX 78703-1222 | 2020-05-03 |
1982236550 | Stephen Young | Physician Assistant | 10001 S Ih 35 Ste 320, Austin, TX 78747-1705 | 2020-02-11 |
1528608908 | Megan Paige Sutphin | Physician Assistant | 1333 Shore District Dr Apt 1655, Austin, TX 78741-1317 | 2020-01-13 |
1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
1619528569 | Lauren Michelle Feierstein | Physician Assistant | 4505 Duval St Apt 115, Austin, TX 78751-3225 | 2019-09-23 |
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.