LISA DANIELE BOUILLION (NPI# 1437617719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437617719 |
Entity Type | Individual |
Full Name | LISA DANIELE BOUILLION |
Credential | AGNP-C |
Practice Address |
7201 Manchaca Rd Austin TX 78745-5283 |
Mailing Address |
7201 Manchaca Rd Ste B Austin TX 78745-5284 |
Practice Telephone | 5124433577 |
Practice Fax Number | 5124456027 |
Mailing Telephone | 5124433577 |
Mailing Fax Number | 5124456027 |
Enumeration Date | 2019-03-06 |
Last Update Date | 2019-03-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP1407100 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7201 MANCHACA RD |
City | AUSTIN |
State | TX |
Zip Code | 78745-5283 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831194489 | Allen Sonstein | Internal Medicine | 7201 Manchaca Rd, Ste B, Austin, TX 78745-5259 | 2005-06-19 |
1972746931 | Michael G Petersen | Physician Assistant | 7201 Manchaca Rd, Ste B, Austin, TX 78745-5283 | 2009-04-07 |
1336342294 | Susan Angela Cobb | Physician Assistant | 7201 Manchaca Rd, Ste B, Austin, TX 78745-5283 | 2007-06-07 |
1952518524 | Daniel P Harris | Audiologist | 7201 Manchaca Rd, Suite B, Austin, TX 78745-5259 | 2007-05-16 |
1063629640 | Debra Mcdowell | Physical Therapist | 7201 Manchaca Rd, Suite B, Austin, TX 78745-5259 | 2007-05-16 |
1356382915 | John A Pratt | Social Worker | 7201 Manchaca Rd, Austin, TX 78745-5259 | 2006-06-08 |
1811993678 | Barbara Carson | Nurse Practitioner | 7201 Manchaca Rd, Ste B, Austin, TX 78745-5259 | 2005-06-24 |
1578569919 | Linda Hargrove | Nurse Practitioner | 7201 Manchaca Rd, Ste B, Austin, TX 78745-5259 | 2005-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
Find all providers in zip 78745 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144848516 | Sarah Beth Wilke | Nurse Practitioner | 10244 Missel Thrush Dr, Austin, TX 78750-2137 | 2020-07-11 |
1023590023 | Carlos Antonio-palting Garcia | Nurse Practitioner | 8101 Cameron Rd Ste 101, Austin, TX 78754-3816 | 2018-09-05 |
1871008045 | Susanna Claire Perry | Nurse Practitioner | 3901 Spicewood Springs Rd # 201, Austin, TX 78759-8723 | 2017-12-09 |
1215441068 | Jocelyn Ybarra | Nurse Practitioner | 3000 N Ih 35 Ste 700, Austin, TX 78705-1852 | 2017-11-30 |
1073058145 | Kerri Nicole Hooper-thigpen | Nurse Practitioner | 14408 American Kestrel Dr, Austin, TX 78738-6520 | 2016-12-28 |
1114385309 | Joseph Ramuta Oleary | Nurse Practitioner | 15 Waller Street, Rbj Bldg., Austin/travis County Health & Human Services, Austin, TX 78702-5240 | 2016-02-03 |
1972991743 | Krista Yeh | Nurse Practitioner | 13617 Caldwell Drive, Austin, TX 78750 | 2015-01-02 |
1245656057 | Michelle Richardson | Nurse Practitioner | 7610 W Highway 71 Ste F, Austin, TX 78735-8239 | 2014-03-17 |
1376801282 | Christina Angela Romain | Nurse Practitioner | 16219 Ranch Road 620 N, Austin, TX 78717 | 2012-04-27 |
1417231069 | Edna Eichler | Nurse Practitioner | 6801 River Place Blvd, Austin, TX 78726-4530 | 2011-09-30 |
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.