ALEXANDRA WILSON (NPI# 1184731788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184731788 |
| Entity Type | Individual |
| Full Name | ALEXANDRA WILSON |
| Credential | M.D. |
| Practice Address |
4900 Mueller Blvd C/o Dell Children's Medical Center Austin TX 78723-3079 |
| Practice Telephone | 5123240000 |
| Practice Fax Number | 5123240721 |
| Mailing Telephone | 5123240000 |
| Mailing Fax Number | 5123240721 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
L9961 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 168483902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306356589 | Alexandra Wilson | Nurse Practitioner | 3033 W Layton Ave # 102, Greenfield, WI 53221-2628 | 2017-10-02 |
| 1770002396 | Alexandra Catheryn Wilson | Physical Therapist | 8551 W Lake Mead Blvd Ste 170, Las Vegas, NV 89128-7649 | 2017-09-14 |
| 1538510144 | Alexandra Wilson | Social Worker | 1818 Skyland Dr, Clearwater, FL 33759-1724 | 2016-06-24 |
| 1588298103 | Alexandra Norris Wilson | Physician Assistant | 18333 Egret Bay Blvd Ste 200, Houston, TX 77058-3200 | 2020-02-24 |
| 1417430802 | Alexandra Wilson | Social Worker | 1661 E Chapman Ave Ste 1e, Fullerton, CA 92831-4061 | 2018-09-11 |
| 1669954970 | Alexandra Wilson | Social Worker | 10 Asylum St, Milford, MA 01757-2203 | 2018-09-04 |
| 1083110902 | Alexandra Wilson | Behavior Technician | 14895 E 14th St Ste 465, San Leandro, CA 94578-2989 | 2018-03-30 |
| 1528563384 | Alexandra Grace Wilson | Student in an Organized Health Care Education/Training Program | 1960 N Ogden St Ste 400, Denver, CO 80218-3670 | 2018-03-26 |
| 1932616406 | Alexandra Pfefferle Wilson | Physical Therapist | 10740 Nall Ave Ste 215, Overland Park, KS 66211 | 2018-01-05 |
| 1760995096 | Alexandra Wilson | Behavioral Analyst | 12650 Hamilton Crossing Blvd, Carmel, IN 46032-5400 | 2017-11-08 |
| Street Address |
4900 MUELLER BLVD C/O DELL CHILDREN'S MEDICAL CENTER |
| City | AUSTIN |
| State | TX |
| Zip Code | 78723-3079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102175 | Cathleen M. Havemann | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2005-05-23 |
| 1235744418 | Ana F. El Behadli Gonzalez | Psychologist | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-09-14 |
| 1205449469 | Audrey Cortesi | Psychologist | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-08-27 |
| 1134746902 | Catherine Dusing | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-06-28 |
| 1003433863 | Kaitlyn Mosher | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-06-28 |
| 1558980656 | Devika Pillay | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-04-09 |
| 1801429550 | Ashley Griffin | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-02-20 |
| 1770123093 | Anika Lockhart | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-01-14 |
| 1417594102 | Rebecca J Blackwell | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2019-12-02 |
| 1861037038 | Rachel Annette Cano Brendlinger | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2019-11-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787318 | Bridget Wilson | Counselor | 6448 East Hwy 290, Suite F108, Austin, TX 78723 | 2019-02-25 |
| 1700378999 | Andrew Christopher Shanks | Counselor | 2132 Antone St, Austin, TX 78723 | 2018-06-04 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1215433354 | Erika Senai Ramirez | Nurse Practitioner | 6900 Ed Bluestein Blvd, Austin, TX 78723 | 2018-04-05 |
| 1518477645 | Brigitte Tyree | Registered Nurse | 2237 Zach Scott St, Austin, TX 78723 | 2017-10-03 |
| 1942735980 | Ila Sehgal | Pediatrics | 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2017-04-27 |
| 1851825194 | Terry Blackmon | Behavioral Analyst | 2021 Zach Scott St, Austin, TX 78723 | 2017-04-13 |
| 1114337961 | Cassandra Sorensen | Home Health | 3001 Maplelawn Circle, Austin, TX 78723 | 2014-05-02 |
| 1336569052 | Ricky C Mehta | Internal Medicine | 6210 E Hwy 290 Ste 420, Austin, TX 78723 | 2014-04-21 |
| 1356761373 | Peter Caldwell Gilbreath | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2014-04-17 |
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| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497222400 | Justin K Sandefur | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2018-10-28 |
| 1710366893 | Sai Krishna Surapa Raju | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2015-05-22 |
| 1639513971 | Kelly Bora | Pediatrics | 12221 N Mopac Expy, Austin, TX 78758 | 2013-04-17 |
| 1154603512 | Kyle Scott Miller | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2011-09-12 |
| 1477849313 | Milton Meadows | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2011-06-20 |
| 1295038479 | Meghan Lane | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2010-12-10 |
| 1518019520 | Taj M Khan | Pediatrics | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2007-01-18 |
| 1427138833 | Tandy Alice Mellard | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2006-10-17 |
| 1073615977 | Kyle Lieppman | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2006-09-01 |
| 1548373079 | Michael Auth | Pediatrics | 4900 Mueller Blvd, C/o Dell Children's Medical Center, Austin, TX 78723-3079 | 2006-08-17 |
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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.