NICOLE LEIGH VONDALL


Address: 11300 N Lamar Blvd, Austin, TX 78753-2665
Phone: 5128356751

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 11300 N LAMAR BLVD
City AUSTIN
State TX
Zip Code 78753-2665

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City AUSTIN
Zip Code 78753

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Dataset Information

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.

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