LARA NICOLE MACKINTOSH (NPI# 1285262139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285262139 |
| Entity Type | Individual |
| Full Name | LARA NICOLE MACKINTOSH |
| Credential | RN |
| Practice Address |
3508 Far West Blvd Ste 130 Austin TX 78731-3081 |
| Mailing Address |
8524 Bellancia Dr Austin TX 78738-7621 |
| Practice Telephone | 5128283990 |
| Mailing Telephone | 7026729922 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
926216 | TX | Nursing Service Providers |
| Street Address |
3508 FAR WEST BLVD STE 130 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-3081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144707613 | Adrienne Blau | Speech-Language Pathologist | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2018-07-26 |
| 1891303947 | Chassie Nicole Moore | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-07-15 |
| 1649893215 | Chijindu Chichi Ndubisi | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-05-18 |
| 1427670967 | Emily H Spearman | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-05-07 |
| 1932729605 | Page Marshall | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-04-22 |
| 1689203812 | Canitra Jackson | Licensed Vocational Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-04-08 |
| 1891324067 | Heather Kay Joslin | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-04-08 |
| 1093349128 | Patricia C Rico | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-02-27 |
| 1487286852 | Gwendolyn Ruth Agbatekwe | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-02-04 |
| 1487292108 | Lisa Ann Garlanger | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336766575 | Tran Truong | Registered Nurse | 10824 Amblewood Way, Austin, TX 78753-3347 | 2020-07-04 |
| 1619505112 | Margi Anne Clark | Registered Nurse | 1630 Wells Branch Pkwy Apt 828, Austin, TX 78728-7161 | 2020-03-30 |
| 1053958926 | Melissa Sun | Registered Nurse | 1016 W Stassney Ln Apt 222, Austin, TX 78745-3074 | 2019-12-10 |
| 1447730957 | Tyler Lynn Hastings | Registered Nurse | 10707 Lake Creek Pkwy Apt 234, Austin, TX 78750-1656 | 2018-08-15 |
| 1184032880 | Darcy Riell | Registered Nurse | 500 E Stassney Ln, Apt. 213, Austin, TX 78745-3243 | 2014-07-25 |
| 1982953261 | Lacie Grubbe | Registered Nurse | 5009 Cana Cv, Austin, TX 78749-4687 | 2012-09-02 |
| 1891303947 | Chassie Nicole Moore | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-07-15 |
| 1932729605 | Page Marshall | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-04-22 |
| 1780204040 | Homa Sharifi | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2020-04-16 |
| 1891324067 | Heather Kay Joslin | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-04-08 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on LARA NICOLE MACKINTOSH.
| 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.