MRS. OLIVIA JO WILDER (NPI# 1487997011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487997011 |
| Entity Type | Individual |
| Full Name | MRS. OLIVIA JO WILDER |
| Credential | ANP |
| Practice Address |
7000 N Mo Pac Expy Ste 420 Austin TX 78731-3055 |
| Practice Telephone | 5124820045 |
| Practice Fax Number | 5124769892 |
| Mailing Telephone | 5124820045 |
| Mailing Fax Number | 5124769892 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 759769 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
759769 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 354595603 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407323371 | Olivia Wilder | Hearing Instrument Specialist | 1756 Us Highway 90 W Ste 3, Defuniak Springs, FL 32433-1449 | 2018-10-30 |
| Street Address |
7000 N MO PAC EXPY STE 420 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942486253 | Richard Ross Panethere | Internal Medicine | 7000 N Mo Pac Expy Ste 420, Austin, TX 78731 | 2008-01-16 |
| 1194276352 | Charity A Espenlaub | Nurse Practitioner | 7000 N Mo Pac Expy Ste 420, Austin, TX 78731-3055 | 2016-10-21 |
| 1659784627 | Carlye Mabry-cantu | Internal Medicine | 7000 N Mo Pac Expy Ste 420, Austin, TX 78731-3055 | 2014-06-08 |
| 1467864686 | Mohammad Makkouk | Internal Medicine | 7000 N Mo Pac Expy Ste 420, Austin, TX 78731-3055 | 2014-05-22 |
| 1295147411 | Castel Bradley Hibbert | Internal Medicine | 7000 N Mo Pac Expy Ste 420, Austin, TX 78731-3055 | 2014-05-22 |
| 1851721963 | Jose J Perez | Internal Medicine | 7000 N Mo Pac Expy Ste 420, Austin, TX 78731-3055 | 2013-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1982201281 | Alison Conway | Nurse Practitioner | 2900 S 1st St Apt 123, Austin, TX 78704-6368 | 2020-10-08 |
| 1629680525 | Elizabeth Britt Dufrene | Nurse Practitioner | 8102 Isaac Pryor Dr, Austin, TX 78749-1863 | 2020-08-21 |
| 1679105258 | Karen Troylyn Karnaky | Nurse Practitioner | 806 West Ave, Austin, TX 78701-2208 | 2020-02-11 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1457904401 | Megan Grace Berard | Nurse Practitioner | 3801 N Lamar Blvd Suite 300, Austin, TX 78756-4080 | 2019-07-18 |
| 1457825747 | Cecilia Joe Davis | Nurse Practitioner | 3410 Far West Blvd Ste 110, Austin, TX 78731-3187 | 2019-01-20 |
| 1811406192 | Msh Diamondback Health Services LLC | Nurse Practitioner | 16219 Ranch Road 620, Austin, TX 78717 | 2017-09-29 |
| 1023536414 | Alyssa Evens | Nurse Practitioner | 300 E Highland Mall Blvd Ste 1a, Austin, TX 78752-3746 | 2017-09-06 |
| 1710340963 | Kimberly Ellison | Nurse Practitioner | 1400 N. Ih 35; Ste 300, Seton Surgical Group, Austin, TX 78701 | 2016-04-04 |
| 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.