NANETTE FODELL (NPI# 1356814313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356814313 |
| Entity Type | Individual |
| Full Name | NANETTE FODELL |
| Credential | LCDC |
| Practice Address |
12335 Hymeadow Dr Ste 300 Austin TX 78750-1935 |
| Mailing Address |
4500 E Oltorf St Apt 406 Austin TX 78741-4651 |
| Practice Telephone | 5122509355 |
| Practice Fax Number | 5122500229 |
| Mailing Telephone | 2146207357 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14616 | TX | Behavioral Health & Social Service Providers |
| Street Address |
12335 HYMEADOW DR STE 300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78750-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487818563 | John C Harvey | Counselor | 12335 Hymeadow Dr Ste 300, Austin, TX 78750-1935 | 2008-07-17 |
| 1619598240 | Charles Howell | Counselor | 12335 Hymeadow Dr Ste 300, Austin, TX 78750-1935 | 2020-05-05 |
| 1881126167 | Scott Roberts | Counselor | 12335 Hymeadow Dr Ste 300, Austin, TX 78750-1935 | 2017-03-28 |
| 1619408986 | Counseling for Personal Growth Pll | Community/Behavioral Health | 12335 Hymeadow Dr Ste 300, Austin, TX 78750-1935 | 2017-03-27 |
| 1780821637 | Tonya Walton | Social Worker | 12335 Hymeadow Dr Ste 300, Suite 350, Austin, TX 78750-1935 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843518 | Mydental At Anderson Mill Pllc | Dentist | 13450 N Highway 183 Ste 237a, Austin, TX 78750 | 2018-06-05 |
| 1003305442 | Brendan Michael Harvey | Counselor | 12343 Hymeadow Dr Ste 2h, Austin, TX 78750 | 2018-05-01 |
| 1033621339 | Dr. Grant Glauser Dds Pllc | Clinic/Center | 12401 Hymeadow Dr, Bldg 5, Austin, TX 78750 | 2017-10-27 |
| 1649798166 | Poest Dental Pllc | Dentist | 10601 Pecan Park Blvd., Suite 101, Austin, TX 78750 | 2017-09-05 |
| 1255858031 | Pearl Priscilla Martinez | Marriage & Family Therapist | 13359 N Highway 183 Ste 406-611, Austin, TX 78750 | 2017-08-23 |
| 1295262814 | Atlas Orthopedic Products LLC | Prosthetic/Orthotic Supplier | 13785 Research Blvd Ste 125, Austin, TX 78750 | 2017-05-12 |
| 1790138691 | Dr. Marc Amsili | Dentist | 12335 Hyemeadow Drive, Ste 250, Austin, TX 78750 | 2016-07-15 |
| 1972991743 | Krista Yeh | Nurse Practitioner | 13617 Caldwell Drive, Austin, TX 78750 | 2015-01-02 |
| 1275960460 | Kristyn Magoon | Physician Assistant | 13617 Caldwell Dr., Suite 100, Austin, TX 78750 | 2013-10-02 |
| 1023454386 | Fuad Makkouk | Ophthalmology | 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 | 2013-05-14 |
| Find all providers in zip 78750 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1639770969 | Fadya Therapy Pllc | Counselor | 1452 Wild Basin Ldg, Austin, TX 78746-2700 | 2020-11-03 |
| 1669089504 | Tess Lenae Taylor | Counselor | 1205 Luna St, Austin, TX 78721-1229 | 2020-09-24 |
| 1053922682 | Texas Community Supervision Alternatives, LLC | Counselor | 6400 E Highway 290 Ste 200, Austin, TX 78723-1032 | 2020-08-17 |
| 1285252551 | Fundamentals of Recovery LLC | Counselor | 7509 Menchaca Rd Unit 301, Austin, TX 78745-6062 | 2020-07-13 |
| 1447883384 | Collin Speciale | Counselor | 6115 Mountain Villa Cv, Austin, TX 78731-3518 | 2020-02-19 |
| 1477104511 | Y. Diana Johnson | Counselor | 7901 Cameron Rd Ste 2-139, Austin, TX 78754-3802 | 2019-09-20 |
| 1083189930 | Jettie C Young | Counselor | 4101 Louise Lee Dr, Austin, TX 78725-4005 | 2018-10-08 |
| 1285112581 | Sara Galindo | Counselor | 1409 Sanchez St Unit A, Austin, TX 78702-1638 | 2018-07-30 |
| 1952896961 | Blanca Sanchez-navarro | Counselor | 3407 W Slaughter Ln Ste A, Austin, TX 78748-5715 | 2018-06-22 |
| 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.