SHAN QIU


Address: 1108 Lavaca St, Austin, TX 78701-2172
Phone: 5124774088

SHAN QIU (NPI# 1134754997) 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) 1134754997
Entity Type Individual
Full Name SHAN QIU
Credential FNP
Practice Address 1108 Lavaca St
Austin
TX 78701-2172
Mailing Address 10210 Matoca Way
Austin
TX 78726-1378
Practice Telephone 5124774088
Mailing Telephone 5127059883
Enumeration Date 2020-03-11
Last Update Date 2020-03-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP142812 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1108 LAVACA ST
City AUSTIN
State TX
Zip Code 78701-2172

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679598718 Peggy M Russell Internal Medicine 1108 Lavaca St, 110-320, Austin, TX 78701-2172 2006-07-12
1083155832 Louisa Giuliana Werner Crosby Nurse Practitioner 1108 Lavaca St, Suite 110-320, Austin, TX 78701-2172 2017-03-13
1417211970 Jordan Sondgeroth Clinical Nurse Specialist 1108 Lavaca St, Suite 110-320, Austin, TX 78701-2172 2012-06-29
1023392461 Michelle Coffey Clinical Nurse Specialist 1108 Lavaca St, Suite 110-320, Austin, TX 78701-2172 2011-10-04
1740588623 Wendy Wing Clinical Nurse Specialist 1108 Lavaca St, Suite 110-320, Austin, TX 78701-2172 2011-03-02
1366771321 Melinda Gunadi Daniel Clinical Nurse Specialist 1108 Lavaca St, Suite 110-320, Austin, TX 78701-2172 2009-12-21
1144481003 Haiyan Liu Clinical Nurse Specialist 1108 Lavaca St, Suite 110-320, Austin, TX 78701-2172 2008-06-23
1740461375 Ping Ye Clinical Nurse Specialist 1108 Lavaca St, Suite 110-320, Austin, TX 78701-2172 2007-11-26
1144364464 Meena V. Rhodes Internal Medicine 1108 Lavaca St, Suite 110-320, Austin, TX 78701-2172 2007-02-19
1164446035 Mary Neusch Mann Nurse Practitioner 1108 Lavaca St, Suite 110-320, Austin, TX 78701-2172 2006-07-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710501820 Megan Elise Gittins Student in an Organized Health Care Education/Training Program Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 2020-06-04
1306467956 Jason Russell Paxman Internal Medicine Dell Seton Medical Center 1500 Red River, Austin, TX 78701 2020-05-05
1992326078 Sarah N Ibanez Shaw Emergency Medicine Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 2020-04-30
1215558689 Margaret Marie Coates Student in an Organized Health Care Education/Training Program 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 2020-04-27
1740817956 Woody Starcloud Green Emergency Medicine Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 2020-03-26
1235771403 Central Ortho Assists Pllc Physician Assistant 501 Congress, Suite 150, Austin, TX 78701 2019-10-09
1114575792 Shyneice Lasha Gaddis Behavior Technician 100 Congress Ave Suite 2000, Austin, TX 78701 2019-08-28
1245887355 Jonathan Thomas Mason Family Medicine 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 2019-08-22
1538726195 Zahra Virginia Cain-akbar Student in an Organized Health Care Education/Training Program Ut Dell Medical, 1500 Red River St, Austin, TX 78701 2019-05-20
1457918021 Sara Lugonjic Student in an Organized Health Care Education/Training Program Ut Austin Dell Medical School Neurology Program, 1400 Ih- 35, Cec 300, Austin, TX 78701 2019-05-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023616992 Nancy Toll Nurse Practitioner 8600 N Fm 620 Rd Apt 936, Austin, TX 78726-3535 2020-10-13
1003413055 Anthony Delovino Lista Nurse Practitioner 311 Bowie St Apt 1215, Austin, TX 78703-5296 2020-10-02
1366049553 Lauren Nicole Crider Nurse Practitioner 3601 S Congress Ave Ste D100, Austin, TX 78704-7205 2020-10-01
1366059784 Teresa Marie Reed Nurse Practitioner 3921 Steck Ave Ste A120, Austin, TX 78759-8669 2020-09-29
1144836289 Amy Silva Nurse Practitioner 1824 Rainy Meadows Dr, Austin, TX 78758-3518 2020-09-22
1326652470 Carolyn Lee Stanford Nurse Practitioner 14902 Crosscreek, Austin, TX 78737-8904 2020-09-06
1457965899 Lorie Kmetz Nurse Practitioner 1907 Alguno Rd, Austin, TX 78757-3220 2020-09-02
1184238735 Amanda Kanski Nurse Practitioner 9525 N Capital of Texas Hwy Unit 416, Austin, TX 78759-7294 2020-09-01
1487265013 Lisa Karen Brogan Nurse Practitioner 1805 Forest Hill Dr, Austin, TX 78745-1720 2020-08-17
1992316327 Mona Saberi Nurse Practitioner 15024 Calaveras Dr, Austin, TX 78717-4577 2020-08-10
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Competitor

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City AUSTIN
Zip Code 78701

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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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