CARRIE BANIGAN HODGES (NPI# 1164853461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164853461 |
| Entity Type | Individual |
| Full Name | CARRIE BANIGAN HODGES |
| Credential | RN, NP-C |
| Practice Address |
500 Canyon Ridge Dr Austin TX 78753-1632 |
| Mailing Address |
13111 New Boston Bnd Austin TX 78729-7533 |
| Practice Telephone | 5128369000 |
| Mailing Telephone | 5129210640 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
791320 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 CANYON RIDGE DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366418519 | Kirby Reed | Nurse Practitioner | 500 Canyon Ridge Dr, Suite J350, Austin, TX 78753-1632 | 2006-02-27 |
| 1134772122 | Richard Barnum Gustafson | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2019-07-19 |
| 1972059103 | Samir Alrajab | Dentist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2016-08-28 |
| 1396198552 | Melissa Jean Harper | Nurse Practitioner | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2016-07-22 |
| 1497189195 | Gabrielle Mccart | Nurse Practitioner | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-08-29 |
| 1861733735 | Mark Zamutt | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-03-01 |
| 1407196363 | Shannon Zucca | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-02-28 |
| 1558679662 | Rediclinic Austin, LLC | Clinic/Center | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2010-09-23 |
| 1437476256 | Todd Ellsworth | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2010-05-04 |
| 1720305634 | Anita Jenson | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2010-05-02 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 78753 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 |
| 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.