MS. TANDY ALICE MELLARD


Address: 4900 Mueller Blvd, Austin, TX 78723-3079
Phone: 5123240197

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX 176872303 05

Office Location

Street Address 4900 MUELLER BLVD
City AUSTIN
State TX
Zip Code 78723-3079

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City AUSTIN
Zip Code 78723

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Dataset Information

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.

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