MOTHERS' MILK BANK AT AUSTIN (NPI# 1154454833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154454833 |
| Entity Type | Organization |
| Organization Name | MOTHERS' MILK BANK AT AUSTIN |
| Practice Address |
2911 Medical Arts Street Suite 12 Austin TX 78705-3331 |
| Mailing Address |
5925 Dillard Cir Austin TX 78752-4441 |
| Practice Telephone | 5124940800 |
| Practice Fax Number | 5124940880 |
| Mailing Telephone | 5124940800 |
| Mailing Fax Number | 5124940880 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | MRS. KIMBERLY UPDEGROVE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5124940800 |
| Authorized Official Credential | RN, CNM, MSN, MP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 132700000X | Dietary Manager | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0057887-01 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOTHERS' MILK BANK AT AUSTIN, INC. | 5925 Dillard Circle, Austin, TX 78752-4441 |
| Street Address |
2911 MEDICAL ARTS STREET SUITE 12 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922505601 | Hospital Internists of Texas Clinic, Pllc | Internal Medicine | 2911 Medical Arts Street, Building 10, Austin, TX 78705 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 132700000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietary Manager |
| A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598117178 | Megan Brown | Dietary Manager | 4509 Avenue G, Austin, TX 78751-3116 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720617723 | Charrissa Jane Laborn | Dietary Manager | 109 Nw Main St Ste 5, Ennis, TX 75119-4079 | 2020-04-02 |
| 1588204804 | Richard Kones | Dietary Manager | 5401 Chimney Rock Rd # 1401, Houston, TX 77081-2004 | 2020-01-14 |
| 1235522038 | Breck Lowe | Dietary Manager | 1829 Serena Dr, Lancaster, TX 75134-2233 | 2015-03-18 |
| 1821411752 | Absolutely Thin | Dietary Manager | 15150 Preston Rd Suite 150, Dallas, TX 75248 | 2014-01-29 |
| 1780013896 | Tameka Lanett Williams | Dietary Manager | 5914 Burning Sunrise Dr, San Antonio, TX 78244-1290 | 2013-11-08 |
| 1619246196 | Daniel Schildgen | Dietary Manager | 6100 Colleyville Blvd Ste 160, Colleyville, TX 76034-8021 | 2011-12-29 |
| 1891084042 | Beverly Elaine Baxter | Dietary Manager | 14445 Wallisville Rd, 902, Houston, TX 77049-4349 | 2011-03-28 |
| 1689900342 | Ernest Ray Mccauley IIi | Dietary Manager | 1340 Althea Drive, Houston, TX 77018 | 2009-10-30 |
| 1689879363 | Medina County | Dietary Manager | 808a Harper, Hondo, TX 78861-2000 | 2007-06-20 |
| 1205968450 | Hale Center Senior Citizens | Dietary Manager | 416 W 2nd, Hale Center, TX 79041 | 2007-03-12 |
| Find all providers with the same taxonomy | ||||
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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.