BRIDGET L SHEN (NPI# 1407172489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407172489 |
| Entity Type | Individual |
| Full Name | BRIDGET L SHEN |
| Credential | RN, CPNP |
| Practice Address |
12411 Hymeadow Dr Suite 3f Austin TX 78750-1874 |
| Practice Telephone | 5122501997 |
| Mailing Telephone | 5122501997 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2011-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
679922 | TX | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
679922 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | REGISTERED NURSE | 679922 | 01 |
| Street Address |
12411 HYMEADOW DR SUITE 3F |
| City | AUSTIN |
| State | TX |
| Zip Code | 78750-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154313013 | Subrahmanyam Narra | Internal Medicine | 12411 Hymeadow Dr, Ste 3e, Austin, TX 78750-1874 | 2005-08-17 |
| 1699294249 | Lauren Alexandria Steele | Physical Therapist | 12411 Hymeadow Dr, Bldg 3 Suite 3b, Austin, TX 78750 | 2017-09-14 |
| 1407196108 | Christina M Mcgee | Physical Therapist | 12411 Hymeadow Dr, Bldg 3, Ste 3b, Austin, TX 78750-1874 | 2013-02-18 |
| 1841564853 | Cody E Mcneely | Physical Therapist | 12411 Hymeadow Dr, Bldg 3, Ste 3b, Austin, TX 78750-1874 | 2012-03-08 |
| 1972750438 | Angela Fox Dobinsky | Physical Therapist | 12411 Hymeadow Dr, Building 3, Suite 3b, Austin, TX 78750-1874 | 2008-08-26 |
| 1467626770 | Sara Khanzadeh Sauder | Physical Therapist | 12411 Hymeadow Dr, Bldg 3, Ste 3b, Austin, TX 78750-1874 | 2008-04-17 |
| 1245401363 | Select Physical Therapy Texas Limited Partnership | Durable Medical Equipment & Medical Supplies | 12411 Hymeadow Dr, Bldg 3, Ste C, Austin, TX 78750-1874 | 2008-03-17 |
| 1457536989 | Peter A. Kangos, Md, Pa | Pediatrics | 12411 Hymeadow Dr, Suite 3f, Austin, TX 78750-1874 | 2008-01-03 |
| 1366659757 | David Lee Martin, M.d., P.a. | Clinic/Center | 12411 Hymeadow Dr, Building 3, Suite A, Austin, TX 78750-1874 | 2007-05-17 |
| 1285745547 | Peter Alexis Kangos | Pediatrics | 12411 Hymeadow Dr, Suite 3f, Austin, TX 78750-1874 | 2006-08-31 |
| Find all providers in the same location | ||||
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891342903 | Jillian Lounsberry | Nurse Practitioner | 3000 N Ih 35 Ste 770, Austin, TX 78705-1853 | 2019-08-22 |
| 1790227106 | Natalie Buchanan | Nurse Practitioner | 7004 Bee Cave Roa, Austin, TX 78746 | 2016-11-16 |
| 1639558299 | Kayleigh Todd | Nurse Practitioner | 2500 Burleson Rd, Apt 316, Austin, TX 78741-5609 | 2015-05-28 |
| 1528445103 | Sarah Berger | Nurse Practitioner | 13917 W Hwy 71 Ste A, Austin, TX 78738 | 2015-05-02 |
| 1982007639 | Erin Nelson | Nurse Practitioner | 6618 Sitio Del Rio Blvd Ste A101, Austin, TX 78730-1144 | 2014-10-08 |
| 1720422504 | Emily Claire Wolfe | Nurse Practitioner | 5301b Davis Ln, Austin, TX 78749-3961 | 2013-04-23 |
| 1073890976 | Linda Jeanne Kangos | Nurse Practitioner | 12411 Hymeadow Dr Ste 3f, Austin, TX 78750-1829 | 2011-11-07 |
| 1154651636 | Karen L Borich | Nurse Practitioner | 1807 West Slaughter Lane, Suite 490, Austin, TX 78748-3632 | 2010-01-06 |
| 1396073946 | Stephanie Grace Slater | Nurse Practitioner | 9411 N Lamar Blvd Ste 120, Austin, TX 78753-4179 | 2009-11-19 |
| 1497991335 | Sara Napora | Nurse Practitioner | 3305 Clearview Dr, Austin, TX 78703-2747 | 2008-12-24 |
| 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.