JENNIFER CASERTA BADER (NPI# 1306996780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306996780 |
| Entity Type | Individual |
| Full Name | JENNIFER CASERTA BADER |
| Other Name | JENNIFER LYNN CASERTA |
| Credential | PA-C |
| Practice Address |
1510 W 34th St Ste 100 Austin TX 78703-1400 |
| Practice Telephone | 5125339900 |
| Practice Fax Number | 5125339901 |
| Mailing Telephone | 5125339900 |
| Mailing Fax Number | 5125339901 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 001863 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4948 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA05397 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 346354901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114277803 | Jennifer Leann Bader | Nurse Practitioner | 920 Kennett St, Kennett, MO 63857-3817 | 2012-09-11 |
| 1407163983 | Jennifer Ann Bader | Emergency Medical Technician, Basic | 1020 Forrest Ave, Suite 1, Dover, DE 19904-2799 | 2010-09-07 |
| Street Address |
1510 W 34TH ST STE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902875453 | Jennifer Aranda | Dermatology | 1510 W 34th St, Suite 100, Austin, TX 78703-1400 | 2006-03-16 |
| 1992950323 | William E Bruzy | Counselor | 1510 W 34th St, Suite 204, Austin, TX 78703-1400 | 2008-11-26 |
| 1770766123 | Tiffany Lynn Ekno | Physician Assistant | 1510 W 34th St, Suite 100, Austin, TX 78703-1400 | 2007-12-07 |
| 1285790824 | Margaret Elizabeth Williams | Social Worker | 1510 W 34th St, Suite #200-5, Austin, TX 78703-1400 | 2006-12-28 |
| 1669550703 | Richard Brian Shaffer | Chiropractor | 1510 W 34th St, Suite 203, Austin, TX 78703-1400 | 2006-11-02 |
| 1366529216 | John M. Eggleston IIi | Plastic Surgery | 1510 W 34th St, Suite 100, Austin, TX 78703-1400 | 2006-10-31 |
| 1437240462 | Susan Diane Salyer | Nurse Practitioner | 1510 W 34th St, Suite 205, Austin, TX 78703-1400 | 2006-09-27 |
| 1104859859 | Paula C Gay | Psychologist | 1510 W 34th St, Suite 205, Austin, TX 78703-1400 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1053779207 | Bodhi Leaf, Pllc | Social Worker | 1300 West Lynn Drive, Suite 207, Austin, TX 78703 | 2016-02-03 |
| 1073904447 | Danielle Frommer | Behavioral Analyst | 311 Bowie St Apt 1903, Austin, TX 78703 | 2015-02-06 |
| 1437391711 | Brett Douglas Macadam | Radiology | 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 | 2009-04-01 |
| 1184878191 | Albright Medical Associates | Family Medicine | 800 W. 5th St, #201, Austin, TX 78703 | 2008-11-05 |
| 1063616662 | Anna C Bell | Pediatrics | 1912 N. 35th St., Austin, TX 78703 | 2007-06-14 |
| 1447472808 | Austin Wellness Institute | General Practice | 1501 W 5th Street, Suite 109, Austin, TX 78703 | 2007-05-03 |
| 1487871968 | Joni K Wallace | Dentist | 2414 Exposition Blvd, Suite B-105, Austin, TX 78703 | 2007-04-19 |
| 1073631339 | Tays General Dentistry Pa | Dentist | 3404 Kerbey Lane, Austin, TX 78703 | 2007-03-26 |
| 1083758270 | Amy Carlisle Goodwin | Counselor | 2408 Enfield Rd, #213, Austin, TX 78703 | 2007-02-19 |
| Find all providers in zip 78703 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1962988329 | Aucutt Surgical Services, Pllc | Physician Assistant | 6705 Melava Ct, Austin, TX 78749-6924 | 2018-07-18 |
| 1114307907 | Facilitate Surgical, Pllc | Physician Assistant | 2110 W Slaughter Ln Ste 107, #395, Austin, TX 78748-5978 | 2015-06-05 |
| 1265834220 | Heidi Burns | Physician Assistant | 3201 Esperanza Xing, Apt 237, Austin, TX 78758-7858 | 2014-09-22 |
| 1861812273 | Deborah Louise Sheffield | Physician Assistant | 13333 Black Canyon Dr, Austin, TX 78729-7482 | 2014-04-24 |
| 1508102559 | Gator Pa 1st Assist, LLC | Physician Assistant | 10900 Stonelake Blvd Ste A-320, Austin, TX 78759-5833 | 2012-12-19 |
| 1972853596 | Gileana Santana | Physician Assistant | 2200 Park Bend Drive, Bldg 2, Suite 201, Austin, TX 78758 | 2012-09-11 |
| 1952698524 | Sarah Marie Elmer | Physician Assistant | 6818 Austin Center Blvd Ste 204, Austin, TX 78731-3100 | 2011-07-05 |
| 1811221617 | Ryan Douglas Lester | Physician Assistant | 4611 Guadalupe Street, Suite 200, Austin, TX 78704 | 2009-09-25 |
| 1710150958 | Lauren Murdock Aseron | Physician Assistant | 6500 Mopac Expwy, Ste. 2207, Austin, TX 78731-4306 | 2008-04-09 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on JENNIFER CASERTA BADER.
| 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.