KIMBERLY TELLES (NPI# 1427341429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427341429 |
| Entity Type | Individual |
| Full Name | KIMBERLY TELLES |
| Credential | LMT |
| Practice Address |
5555 N Lamar Blvd Ste 121c Austin TX 78751-1073 |
| Practice Telephone | 5126626588 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT105473 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5555 N LAMAR BLVD STE 121C |
| City | AUSTIN |
| State | TX |
| Zip Code | 78751-1073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801861919 | Gregory E Wright-crowe | Optometrist | 5555 N Lamar Blvd, E-115 Facing Guadalupe St, Austin, TX 78751-1073 | 2006-02-22 |
| 1841851557 | Michelle Smith | Dietitian, Registered | 5555 N Lamar Blvd, Austin, TX 78751-1073 | 2019-06-24 |
| 1730615782 | Ann Madigan | Occupational Therapist | 5555 N Lamar Blvd, Ste E-103, Austin, TX 78751-1073 | 2017-05-11 |
| 1821524851 | Maryam Yasrebi | Physical Therapist | 5555 N Lamar Blvd, Ste E-103, Austin, TX 78751-1073 | 2017-05-11 |
| 1114454980 | Gladys Nicholls | Physical Therapist | 5555 N Lamar Blvd, Ste E-103, Austin, TX 78751-1073 | 2017-05-11 |
| 1881120152 | Julie Sosa | Physical Therapist | 5555 N Lamar Blvd, Ste E-103, Austin, TX 78751-1073 | 2017-05-05 |
| 1922534296 | Vicki Hempel | Physical Therapist | 5555 N Lamar Blvd, Ste E-103, Austin, TX 78751-1073 | 2017-05-05 |
| 1417498205 | Seton Family of Doctors | Dietitian, Registered | 5555 N Lamar Blvd, Suite D125, Austin, TX 78751-1073 | 2017-03-14 |
| 1124572201 | Peggah Escalante | Dentist | 5555 N Lamar Blvd, Austin, TX 78751-1073 | 2016-08-07 |
| 1528416013 | Edwin Young Healthcare, Inc | In Home Supportive Care | 5555 N Lamar Blvd, Suite C111, Austin, TX 78751-1073 | 2016-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235657867 | Joy Miller | Social Worker | 4920 N Ih 35 Suite 110, Austin, TX 78751 | 2017-09-04 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1316390438 | Hillary Guest | Speech-Language Pathologist | 5406 Middle Fiskville Rd Apt 410, Austin, TX 78751 | 2016-07-14 |
| 1891151866 | Simonek Vision, Pllc | Optometrist | 1000 E. 41st Street, Suite 120, Austin, TX 78751 | 2016-01-06 |
| 1750771911 | Angela Ziskis | Psychologist | 4110 Gualdalupe Street, Building 794, Specialty Services, Austin, TX 78751 | 2015-01-27 |
| 1750783841 | Lizette Araujo | Psychologist | 5225 North Lamar Blvd., Austin, TX 78751 | 2014-09-19 |
| 1013323724 | Matrix Therapy, LLC | Clinic/Center | 5204 Avenue F, Austin, TX 78751 | 2014-07-02 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| 1619259934 | Samir K Momin | Dentist | 1000 E 41st Street, Suite 230, Austin, TX 78751 | 2011-09-13 |
| 1467740753 | Gary G. Plakias | Technician, Other | 5400 N Lamar Blvd, 206b, Austin, TX 78751 | 2011-07-20 |
| Find all providers in zip 78751 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386043 | Julian Denman | Massage Therapist | 4009 Victory Dr Apt C311, Austin, TX 78704-7588 | 2020-11-03 |
| 1235738717 | Daniel Peterson | Massage Therapist | 5800 Brodie Ln Apt 216, Austin, TX 78745-2530 | 2020-10-26 |
| 1811596380 | Zanni Bantam | Massage Therapist | 7700 Whispering Winds Dr, Austin, TX 78745-6063 | 2020-10-25 |
| 1235738378 | Alexander Ray Skeen | Massage Therapist | 6609 Loretta White Ln, Austin, TX 78744-6411 | 2020-10-20 |
| 1578161121 | Laci Smith | Massage Therapist | 5408 Wolf Run, Austin, TX 78749-1238 | 2020-10-15 |
| 1780282798 | Stephan Mangin | Massage Therapist | 6605 Debcoe Dr, Austin, TX 78749-1784 | 2020-10-12 |
| 1205433596 | David Chauvin | Massage Therapist | 3101 Shoreline Dr Apt 1836, Austin, TX 78728-4480 | 2020-10-08 |
| 1235736802 | Nicole J Guerrero | Massage Therapist | 7880 W Hwy 290 Apt 1207, Austin, TX 78736-3221 | 2020-10-06 |
| 1346847266 | Raul Orlando Suarez | Massage Therapist | 1505 Sunnyvale St Apt 117, Austin, TX 78741-2549 | 2020-10-04 |
| 1588271449 | Erik Shtaygrud | Massage Therapist | 7400 Northcrest Blvd, Austin, TX 78752-2451 | 2020-09-24 |
| 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.