TRACY L SOWADA (NPI# 1992971154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992971154 |
| Entity Type | Individual |
| Full Name | TRACY L SOWADA |
| Credential | RN, MSN, CNS |
| Practice Address |
10401 Anderson Mill Rd Ste 110b Austin TX 78750 |
| Mailing Address |
6210 E Highway 290 Ste 420 Austin TX 78723-1098 |
| Practice Telephone | 5122505571 |
| Practice Fax Number | 5124067300 |
| Mailing Telephone | 1254869569 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
681739 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 196973504 | 05 | |
| TX | 196973507 | 05 | |
| TX | 196973501 | 05 | |
| TX | 196973505 | 05 | |
| TX | 196973502 | 05 | |
| TX | 196973506 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 Medical Pkwy Bldg B, Cedar Park, TX 786137763 | 5122606050 | 5122606080 |
| 15803 Windermere Dr Ste 103, Pflugerville, TX 786602482 | 5129892680 | 5124067339 |
| Street Address |
10401 ANDERSON MILL RD STE 110B |
| City | AUSTIN |
| State | TX |
| Zip Code | 78750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043414535 | Alissa Brekken | Pediatrics | 10401 Anderson Mill Rd Ste 110b, Austin, TX 78750-2579 | 2007-06-11 |
| 1265961353 | Jasmeet Kaur | Family Medicine | 10401 Anderson Mill Rd Ste 110b, Austin, TX 78750-2579 | 2017-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843518 | Mydental At Anderson Mill Pllc | Dentist | 13450 N Highway 183 Ste 237a, Austin, TX 78750 | 2018-06-05 |
| 1003305442 | Brendan Michael Harvey | Counselor | 12343 Hymeadow Dr Ste 2h, Austin, TX 78750 | 2018-05-01 |
| 1033621339 | Dr. Grant Glauser Dds Pllc | Clinic/Center | 12401 Hymeadow Dr, Bldg 5, Austin, TX 78750 | 2017-10-27 |
| 1649798166 | Poest Dental Pllc | Dentist | 10601 Pecan Park Blvd., Suite 101, Austin, TX 78750 | 2017-09-05 |
| 1255858031 | Pearl Priscilla Martinez | Marriage & Family Therapist | 13359 N Highway 183 Ste 406-611, Austin, TX 78750 | 2017-08-23 |
| 1295262814 | Atlas Orthopedic Products LLC | Prosthetic/Orthotic Supplier | 13785 Research Blvd Ste 125, Austin, TX 78750 | 2017-05-12 |
| 1790138691 | Dr. Marc Amsili | Dentist | 12335 Hyemeadow Drive, Ste 250, Austin, TX 78750 | 2016-07-15 |
| 1972991743 | Krista Yeh | Nurse Practitioner | 13617 Caldwell Drive, Austin, TX 78750 | 2015-01-02 |
| 1275960460 | Kristyn Magoon | Physician Assistant | 13617 Caldwell Dr., Suite 100, Austin, TX 78750 | 2013-10-02 |
| 1023454386 | Fuad Makkouk | Ophthalmology | 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 | 2013-05-14 |
| Find all providers in zip 78750 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797018 | Elizabeth Lynn Stevie | Clinical Nurse Specialist | 4315 Red Cloud Dr, Austin, TX 78759-4240 | 2020-10-11 |
| 1467954347 | Brianna Jean Lillehei | Clinical Nurse Specialist | 4525 Guadalupe St Apt 208, Austin, TX 78751-3097 | 2018-03-06 |
| 1275949802 | Rebekah Hamner | Clinical Nurse Specialist | 1111 W 34th St Ste 210, Austin, TX 78705-1916 | 2014-07-02 |
| 1962838284 | Carol Lynn Delville | Clinical Nurse Specialist | 4107 Medical Pkwy 210, Austin, TX 78756-3738 | 2013-09-18 |
| 1063852069 | Doctors Weight Loss Center & Wellness | Clinical Nurse Specialist | 11215 S Interstate 35, Suite 114, Austin, TX 78747-1863 | 2013-07-05 |
| 1982943015 | Shane Cristina Concepcion | Clinical Nurse Specialist | 1221 W Ben White Blvd Ste 100a, Austin, TX 78704-7792 | 2013-02-08 |
| 1023388725 | Sarah Granger-glauser | Clinical Nurse Specialist | 711f W 38th St, Austin, TX 78705-1105 | 2012-01-11 |
| 1386914612 | Robin Marie Mccray Choban Han | Clinical Nurse Specialist | 6611 River Place Blvd Ste 203, Austin, TX 78730 | 2012-01-03 |
| 1629354618 | Charisse Soller | Clinical Nurse Specialist | 13450 N Hwy 183, Suite 115, Austin, TX 78750-3239 | 2011-10-23 |
| 1356623011 | Austin Home Heart Care LLC | Clinical Nurse Specialist | 6429 Clay Allison Pass, Austin, TX 78749-2702 | 2011-09-19 |
| 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.