MS. TANDY ALICE MELLARD (NPI# 1427138833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427138833 |
| Entity Type | Individual |
| Full Name | MS. TANDY ALICE MELLARD |
| Credential | PNP |
| Practice Address |
4900 Mueller Blvd Austin TX 78723-3079 |
| Mailing Address |
1301 Barbara Jordan Blvd Suite #200 Austin TX 78723-3077 |
| Practice Telephone | 5123240197 |
| Practice Fax Number | 5123240780 |
| Mailing Telephone | 5126281932 |
| Mailing Fax Number | 5126281801 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
646493 | TX | Allopathic & Osteopathic Physicians |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
646493 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 176872303 | 05 |
| Street Address |
4900 MUELLER BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78723-3079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102175 | Cathleen M. Havemann | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2005-05-23 |
| 1235744418 | Ana F. El Behadli Gonzalez | Psychologist | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-09-14 |
| 1205449469 | Audrey Cortesi | Psychologist | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-08-27 |
| 1134746902 | Catherine Dusing | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-06-28 |
| 1003433863 | Kaitlyn Mosher | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-06-28 |
| 1558980656 | Devika Pillay | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-04-09 |
| 1801429550 | Ashley Griffin | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-02-20 |
| 1770123093 | Anika Lockhart | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-01-14 |
| 1417594102 | Rebecca J Blackwell | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2019-12-02 |
| 1861037038 | Rachel Annette Cano Brendlinger | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2019-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787318 | Bridget Wilson | Counselor | 6448 East Hwy 290, Suite F108, Austin, TX 78723 | 2019-02-25 |
| 1700378999 | Andrew Christopher Shanks | Counselor | 2132 Antone St, Austin, TX 78723 | 2018-06-04 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1215433354 | Erika Senai Ramirez | Nurse Practitioner | 6900 Ed Bluestein Blvd, Austin, TX 78723 | 2018-04-05 |
| 1518477645 | Brigitte Tyree | Registered Nurse | 2237 Zach Scott St, Austin, TX 78723 | 2017-10-03 |
| 1942735980 | Ila Sehgal | Pediatrics | 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2017-04-27 |
| 1851825194 | Terry Blackmon | Behavioral Analyst | 2021 Zach Scott St, Austin, TX 78723 | 2017-04-13 |
| 1114337961 | Cassandra Sorensen | Home Health | 3001 Maplelawn Circle, Austin, TX 78723 | 2014-05-02 |
| 1336569052 | Ricky C Mehta | Internal Medicine | 6210 E Hwy 290 Ste 420, Austin, TX 78723 | 2014-04-21 |
| 1356761373 | Peter Caldwell Gilbreath | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2014-04-17 |
| Find all providers in zip 78723 | ||||
| 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.