ST. EDWARDS UNIVERSITY (NPI# 1174991251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174991251 |
| Entity Type | Organization |
| Organization Name | ST. EDWARDS UNIVERSITY |
| Practice Address |
3001 S Congress Ave Austin TX 78704-6425 |
| Practice Telephone | 5124488535 |
| Mailing Telephone | 5124488535 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |
| Authorized Official Name | DR. CALVIN KELLY (DIRECTOR OF HEALTH & COUNSELING) |
| Authorized Official Telephone | 5124488535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
3001 S CONGRESS AVE |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-6425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114405107 | Caroline Mckenzie Kemp | Nurse Practitioner | 3001 S Congress Ave, Austin, TX 78704-6489 | 2018-08-01 |
| 1558754242 | Dayna Pina | Nurse Practitioner | 3001 S Congress Ave, Johnson Hall, Austin, TX 78704-6425 | 2015-03-05 |
| 1225428386 | Lisa Lowe | Specialist/Technologist | 3001 S Congress Ave, Austin, TX 78704-6425 | 2015-01-28 |
| 1124364724 | Anna Elizabeth Watkins | Nurse Practitioner | 3001 S Congress Ave, Lady Bird Johnson Hall, Austin, TX 78704-6425 | 2012-12-31 |
| 1659634731 | Lee Nathaniel Land | Psychologist | 3001 S Congress Ave, Austin, TX 78704-6425 | 2012-06-22 |
| 1386920635 | Christopher Paul Magott | Specialist/Technologist | 3001 S Congress Ave, Austin, TX 78704-6425 | 2011-11-01 |
| 1740307701 | Troyce Solley | Specialist/Technologist | 3001 S Congress Ave, Austin, TX 78704-6425 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271744 | Utilization Partners | Clinic/Center | 12708 Riata Vista Cir Ste A105, Austin, TX 78727-7167 | 2019-02-19 |
| 1811360373 | Guadalupe Zamora Md | Clinic/Center | 1779 Well Branch Pwky Number 110b-323, Austin, TX 78728 | 2015-11-05 |
| 1285005033 | Unique Spa and Health Center | Clinic/Center | 1779 Wells Branch Pwky, Number 110b-323, Austin, TX 78728 | 2015-10-19 |
| 1780073254 | Visual Endeavors Pllc | Clinic/Center | 7225 W Highway 71 Ste B, Austin, TX 78735-8351 | 2015-01-21 |
| 1346474335 | Sage Eye Care Services | Clinic/Center | 12901 N. I 35 Service Rd., Building 3 Unit 300, Austin, TX 78753 | 2009-05-06 |
| 1598915779 | Concentra Health Services, Inc. | Clinic/Center | 8868 Research Blvd., Suite 601, Austin, TX 78758-6497 | 2008-09-24 |
| 1902073950 | Pam Delcambre | Clinic/Center | 1519 W Koenig Ln, Austin, TX 78756-1415 | 2008-05-09 |
| 1609041003 | Whiteglove Health, Inc. | Clinic/Center | 1601 S Mopac, Building 2, Suite 450, Austin, TX 78746-7009 | 2008-04-25 |
| 1225212251 | Paul Eric Stoufflet | Clinic/Center | 715 W 34th St, Austin, TX 78705-1223 | 2007-12-27 |
| 1275642068 | Accident & Family Chiropractic Center | Clinic/Center | 9300 S I H 35 Ste C-300, Austin, TX 78748-1733 | 2006-08-29 |
| 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.