LITTLE RIVER HEALTHCARE CENTRAL TEXAS, LLC (NPI# 1811360639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811360639 |
| Entity Type | Organization |
| Organization Name | LITTLE RIVER HEALTHCARE CENTRAL TEXAS, LLC |
| Practice Address |
6611 River Place Blvd Suite 302 Austin TX 78730-1162 |
| Mailing Address |
Po Box 1010 Rockdale TX 76567-1010 |
| Practice Telephone | 5124671100 |
| Mailing Telephone | 5124464500 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |
| Authorized Official Name | PEGGY BORGFELD (COO) |
| Authorized Official Telephone | 5124464500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164890497 | Little River Healthcare Central Texas, LLC | Clinic/Center | 213 Mill Creek Dr, Suite 180, Salado, TX 76571-5537 | 2015-09-03 |
| Street Address |
6611 RIVER PLACE BLVD SUITE 302 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78730-1162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336138064 | John Joseph Thoppil | Obstetrics & Gynecology | 6611 River Place Blvd, Suite 202, Austin, TX 78730-1162 | 2005-10-15 |
| 1821618364 | Dana Marie Wicker | Nurse Practitioner | 6611 River Place Blvd, Austin, TX 78730-1162 | 2020-04-24 |
| 1023554664 | Shelly Cox Lcsw | Social Worker | 6611 River Place Blvd, Suite 203, Austin, TX 78730-1162 | 2017-01-06 |
| 1710352828 | Neurocognitive Assessment Center, Pllc | Clinical Neuropsychologist | 6611 River Place Blvd, Ste 203, Austin, TX 78730-1162 | 2015-12-01 |
| 1033506472 | Robert P Wills Md Pllc | Counselor | 6611 River Place Blvd, Suite 300, Austin, TX 78730-1162 | 2015-04-23 |
| 1821492372 | Melissa Choi | Clinical Neuropsychologist | 6611 River Place Blvd, Ste 203, Austin, TX 78730-1162 | 2014-10-13 |
| 1467875419 | Rebecca H Sheehan | Counselor | 6611 River Place Blvd, Suite 203, Austin, TX 78730-1162 | 2014-01-28 |
| 1740525237 | Riverplace Obgyn Pa | Obstetrics & Gynecology | 6611 River Place Blvd, Suite 202, Austin, TX 78730-1162 | 2012-12-10 |
| 1942217377 | Atx Rehab Pllc | Chiropractor | 6611 River Place Blvd, Suite 302, Austin, TX 78730-1162 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487295374 | Amaris Nicole Garza | Dietitian, Registered | 10301 Ranch To Market 2222, Apt #738, Austin, TX 78730 | 2019-10-02 |
| 1366093130 | Kotobi & Associates, LLC | In Home Supportive Care | 6101 W Courtyard Drive, Bldg 1, Suite 150, Austin, TX 78730 | 2019-09-24 |
| 1831653955 | Esther Wooten | Nurse Practitioner | 6500 River Place, Suite 102, Austin, TX 78730 | 2019-01-23 |
| 1629336243 | Yuri Alexander Lawrence | Internal Medicine | 7300 Ranch Road 2222, Austin, TX 78730 | 2012-05-02 |
| 1386914612 | Robin Marie Mccray Choban Han | Clinical Nurse Specialist | 6611 River Place Blvd Ste 203, Austin, TX 78730 | 2012-01-03 |
| 1437397106 | Collins Endodontics, PC | Dentist | 7300 Fm 2222, Building V, Suite 212, Austin, TX 78730 | 2009-02-03 |
| 1043471360 | Nadia Abboud Bening | Psychiatry & Neurology | 6611 Riverplace Blvd., Austin, TX 78730 | 2008-06-19 |
| 1740469089 | Healthy Achievers, Inc. | Nursing Care | 6300 Bridgepoint Parkway, Building 3, Suite 500, Austin, TX 78730 | 2007-11-02 |
| 1104948041 | Jack C. Tips | Nutritionist | 9419 Westminster Glen, Austin, TX 78730 | 2007-04-04 |
| 1407970841 | Us Radiology Partners of Texas Inc | Radiology | 3704 Lagood St, Austin, TX 78730 | 2007-03-19 |
| Find all providers in zip 78730 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457974065 | Dagoberto Balderas, Do, Pllc | General Practice | 5424 W Highway 290 Ste 101, Austin, TX 78735-8838 | 2020-05-19 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1356858377 | Where R U Now, LLC | General Practice | 7110 Cameron Rd Ste E, Austin, TX 78752-2868 | 2017-12-29 |
| 1073066239 | The University of Texas At Austin | General Practice | 1601 Trinity Street, Austin, TX 78712 | 2016-07-25 |
| 1306291620 | Healthy Schools Texas Pllc | General Practice | 9415 Burnet Rd, Ste 309b, Austin, TX 78758-5255 | 2016-04-25 |
| 1649694035 | John Maxwell | General Practice | 12817 Hacienda Rdg, Austin, TX 78738-7652 | 2014-02-06 |
| 1982031852 | Total Md Physicians Group, Pllc | General Practice | 12717 Shops Pkwy, Suite 500, Austin, TX 78738-6621 | 2013-10-08 |
| 1932440245 | Travis County Employee Wellness & Health | General Practice | 1010 Lavaca St # 221, Austin, TX 78701-2331 | 2013-03-12 |
| 1447590765 | David L King | General Practice | 10609 Pickfair Dr, Austin, TX 78750-4010 | 2013-02-23 |
| 1407101744 | Susan Elizabeth Zane | General Practice | 100 Pascal Ln, Austin, TX 78746-2506 | 2012-07-23 |
| 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.