PRIME TELECARE LLC (NPI# 1629678347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629678347 |
| Entity Type | Organization |
| Organization Name | PRIME TELECARE LLC |
| Practice Address |
2251 Bagdad Rd Unit 102 Cedar Park TX 78613-6521 |
| Practice Telephone | 5127408993 |
| Mailing Telephone | 5127408993 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | LITTY VADAKKAN (OWNER) |
| Authorized Official Telephone | 5127408993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2251 BAGDAD RD UNIT 102 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-6521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| 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 |
|---|---|---|---|---|
| 1326517509 | Camett Michelle Moore | Nurse Practitioner | 1130 Cottonwood Creek Trl Ste B1, Cedar Park, TX 78613-7862 | 2018-11-18 |
| 1790292704 | Katherine Newton | Nurse Practitioner | 205 Denali Pass Ste B, Cedar Park, TX 78613-7858 | 2017-12-29 |
| 1417254848 | Dawn K Brown | Nurse Practitioner | 1107 Brookside Cv, Cedar Park, TX 78613-4238 | 2011-02-21 |
| 1891317533 | Trianna Ilise Cordova | Nurse Practitioner | 1717 Scottsdale Dr Ste 120, Cedar Park, TX 78641-4340 | 2020-05-16 |
| 1164994448 | Damaris Vasquez | Nurse Practitioner | 801 E Whitestone Blvd Ste 201, Cedar Park, TX 78613-7559 | 2018-12-26 |
| 1770083123 | Billie Theel | Nurse Practitioner | 1905 S Lakeline Blvd Ste 4, Cedar Park, TX 78613-4660 | 2018-02-12 |
| 1619488053 | Andrew Kester | Nurse Practitioner | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613-4484 | 2017-10-12 |
| 1467987990 | Sarah Williamson | Nurse Practitioner | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613-4484 | 2017-04-21 |
| 1235509704 | Kelly Aller | Nurse Practitioner | 507 Denali Pass Ste 604, Cedar Park, TX 78613-7766 | 2015-09-28 |
| 1033417266 | Monica Lane | Nurse Practitioner | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613 | 2011-03-11 |
| Find all providers in CEDAR PARK | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
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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.