MRS. HEIDI A BOLLOCK (NPI# 1528311297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528311297 |
| Entity Type | Individual |
| Full Name | MRS. HEIDI A BOLLOCK |
| Credential | CNS |
| Practice Address |
2559 Western Trails Blvd Ste. 200 Austin TX 78745-1565 |
| Mailing Address |
7800 Shoal Creek Blvd Ste. 205-n Austin TX 78757-1098 |
| Practice Telephone | 5128992028 |
| Practice Fax Number | 5128990311 |
| Mailing Telephone | 5122064300 |
| Mailing Fax Number | 5122064350 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
775404 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2559 WESTERN TRAILS BLVD STE. 200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962592071 | Stanley Suchy Wang | Internal Medicine | 2559 Western Trails Blvd, Suite 100, Austin, TX 78745-1565 | 2006-10-13 |
| 1770901589 | Westgate Skin & Cancer, Pllc | Dermatology | 2559 Western Trails Blvd, Suite 301, Austin, TX 78745-1565 | 2014-03-31 |
| 1124331665 | Molly Kristen Cahill-kert | Nurse Practitioner | 2559 Western Trails Blvd, Suite 200, Austin, TX 78745-1554 | 2010-07-26 |
| 1659697431 | Blakely S Richardson | Dermatology | 2559 Western Trails Blvd, Suite 301, Austin, TX 78745-1565 | 2010-04-19 |
| 1619201134 | Karen Hejtmancik Blakley | Clinical Nurse Specialist | 2559 Western Trails Blvd, Suite 200, Austin, TX 78745-1554 | 2009-09-30 |
| 1003027699 | Staci R Ianiro | Dentist | 2559 Western Trails Blvd, Suite 302, Austin, TX 78745-1565 | 2007-05-24 |
| 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 | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797018 | Elizabeth Lynn Stevie | Clinical Nurse Specialist | 4315 Red Cloud Dr, Austin, TX 78759-4240 | 2020-10-11 |
| 1467954347 | Brianna Jean Lillehei | Clinical Nurse Specialist | 4525 Guadalupe St Apt 208, Austin, TX 78751-3097 | 2018-03-06 |
| 1275949802 | Rebekah Hamner | Clinical Nurse Specialist | 1111 W 34th St Ste 210, Austin, TX 78705-1916 | 2014-07-02 |
| 1962838284 | Carol Lynn Delville | Clinical Nurse Specialist | 4107 Medical Pkwy 210, Austin, TX 78756-3738 | 2013-09-18 |
| 1063852069 | Doctors Weight Loss Center & Wellness | Clinical Nurse Specialist | 11215 S Interstate 35, Suite 114, Austin, TX 78747-1863 | 2013-07-05 |
| 1982943015 | Shane Cristina Concepcion | Clinical Nurse Specialist | 1221 W Ben White Blvd Ste 100a, Austin, TX 78704-7792 | 2013-02-08 |
| 1023388725 | Sarah Granger-glauser | Clinical Nurse Specialist | 711f W 38th St, Austin, TX 78705-1105 | 2012-01-11 |
| 1386914612 | Robin Marie Mccray Choban Han | Clinical Nurse Specialist | 6611 River Place Blvd Ste 203, Austin, TX 78730 | 2012-01-03 |
| 1629354618 | Charisse Soller | Clinical Nurse Specialist | 13450 N Hwy 183, Suite 115, Austin, TX 78750-3239 | 2011-10-23 |
| 1356623011 | Austin Home Heart Care LLC | Clinical Nurse Specialist | 6429 Clay Allison Pass, Austin, TX 78749-2702 | 2011-09-19 |
| 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.