MANDY BETH CAMERON (NPI# 1265927412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265927412 |
Entity Type | Individual |
Full Name | MANDY BETH CAMERON |
Practice Address |
1700 E Palm Valley Blvd Round Rock TX 78664-4677 |
Mailing Address |
19605 Diablo Dr Pflugerville TX 78660-5089 |
Practice Telephone | 3462626741 |
Mailing Telephone | 5126966988 |
Enumeration Date | 2018-06-28 |
Last Update Date | 2019-09-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP137848 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
19605 Diablo Dr, Pflugerville, TX 786605089 | 5126966988 |
Street Address |
1700 E PALM VALLEY BLVD |
City | ROUND ROCK |
State | TX |
Zip Code | 78664-4677 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972612943 | H-e-b, Lp | Clinical Medical Laboratory | 1700 E Palm Valley Blvd, Round Rock, TX 78664 | 2006-08-30 |
1992200729 | Melissa Lewis | Physician Assistant | 1700 E Palm Valley Blvd, Round Rock, TX 78664-4677 | 2018-03-25 |
1215329081 | Anne Marie Cope | Physical Therapist | 1700 E Palm Valley Blvd, Ste 395, Round Rock, TX 78664-4677 | 2015-03-03 |
1740689561 | Cory Peterson | Physical Therapist | 1700 E Palm Valley Blvd, Suite 395, Round Rock, TX 78664-4677 | 2014-08-18 |
1437595105 | Krithiga Sadasivan | Pharmacist | 1700 E Palm Valley Blvd, Heb Pharmacy, Round Rock, TX 78664-4677 | 2013-05-21 |
1972844850 | M'liss Dawn Nelsen | Pharmacist | 1700 E Palm Valley Blvd, Round Rock, TX 78664-4677 | 2013-03-02 |
1487906020 | Texas Physical Therapy Specialists | Clinic/Center | 1700 E Palm Valley Blvd, Suite 395, Round Rock, TX 78664-4683 | 2012-10-05 |
1427377472 | Kim Nguyen | Pharmacist | 1700 E Palm Valley Blvd, Round Rock, TX 78664-4677 | 2010-05-28 |
1194992610 | Carolina Campos | Pharmacist | 1700 E Palm Valley Blvd, Round Rock, TX 78664-4677 | 2008-05-14 |
1124210695 | Tammie M Howard | Nurse Practitioner | 1700 E Palm Valley Blvd, Round Rock, TX 78664-4677 | 2007-08-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
Find all providers in zip 78664 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770181919 | Natalya Olegovna Fironova | Nurse Practitioner | 2912 Portulaca Dr, Round Rock, TX 78681-2450 | 2020-10-10 |
1336746825 | Catherine Munica | Nurse Practitioner | 3712 Cap Rock Trl, Round Rock, TX 78681-2372 | 2020-10-07 |
1841807203 | Noelia Yesenia Solis Ramirez | Nurse Practitioner | 3702 Birdhouse Dr, Round Rock, TX 78665-1136 | 2020-09-29 |
1962018101 | Amanda Broomhall | Nurse Practitioner | 1925 S Aw Grimes Blvd, Round Rock, TX 78664-7459 | 2020-09-22 |
1629684055 | Sarah Compton | Nurse Practitioner | 2100 Red Oak Cir, Round Rock, TX 78681-2216 | 2020-09-21 |
1265048730 | Mini Paiyappally Thomas | Nurse Practitioner | 2528 Mirasol Loop, Round Rock, TX 78681-2458 | 2020-09-21 |
1760098776 | Elma Peacock | Nurse Practitioner | 6058 Almelo Dr, Round Rock, TX 78681-5539 | 2020-09-16 |
1568076024 | Roger Fisher | Nurse Practitioner | 401 Teravista Pkwy Apt 918, Round Rock, TX 78665-1298 | 2020-09-02 |
1629688494 | Ashlee Lane Bates | Nurse Practitioner | 3705 Holden Ct, Round Rock, TX 78665-1233 | 2020-08-05 |
1407474935 | Roula Balani | Nurse Practitioner | 600 Round Rock West Dr Ste 20, Round Rock, TX 78681-5007 | 2020-07-10 |
Find all providers in ROUND ROCK |
City | ROUND ROCK |
Zip Code | 78664 |
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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.