JENNIFER L. MUSHTALER (NPI# 1649260332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649260332 |
| Entity Type | Individual |
| Full Name | JENNIFER L. MUSHTALER |
| Credential | M.D. |
| Practice Address |
12201 Renfert Way Suite 325 Austin TX 78758-5354 |
| Practice Telephone | 5128362536 |
| Practice Fax Number | 5122848063 |
| Mailing Telephone | 5128362536 |
| Mailing Fax Number | 5122848063 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2011-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | L1141 | TX | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD00041045 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
12201 RENFERT WAY SUITE 325 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-5354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858707 | Melanie Alice Collins | Obstetrics & Gynecology | 12201 Renfert Way, Ste 205, Austin, TX 78758-5369 | 2005-06-01 |
| 1285094060 | Amanda Nicole Armond | Nurse Practitioner | 12201 Renfert Way, Ste. 225, Austin, TX 78758-5354 | 2016-03-07 |
| 1316326200 | Rachel Danielle White | Physician Assistant | 12201 Renfert Way, Suite 115, Austin, TX 78758-5354 | 2015-05-25 |
| 1902166432 | Erin Lafitte | Occupational Therapist | 12201 Renfert Way, Suite 115, Austin, TX 78758-5354 | 2012-05-17 |
| 1861798316 | James Andrew Clark | Physician Assistant | 12201 Renfert Way, Suite 100, Austin, TX 78758-5354 | 2011-02-01 |
| 1548574247 | Capital Obgyn Associates of Texas, Pa | Obstetrics & Gynecology | 12201 Renfert Way, Suite 325, Austin, TX 78758-5354 | 2010-08-05 |
| 1831400464 | Sheridan Nicole Delomel Burman | Dentist | 12201 Renfert Way, Suite Number 345, Austin, TX 78758-5354 | 2010-06-29 |
| 1811210503 | Katherine N Davidson | Nurse Practitioner | 12201 Renfert Way, Suite 220, Austin, TX 78758-5354 | 2010-03-09 |
| 1376876136 | Ginger Elizabeth Truitt | Obstetrics & Gynecology | 12201 Renfert Way, Ste 215, Austin, TX 78758-5354 | 2009-09-11 |
| 1417189390 | Austin Medical Group Pllc | Family Medicine | 12201 Renfert Way, #370, Austin, TX 78758-5354 | 2009-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1326578477 | Mallory Monda | Obstetrics & Gynecology | 1301 W. 38th St., Suite 705, Ut Austin Dell Medical School-obgyn, Medical Park Tower, Austin, TX 78705-1016 | 2017-06-12 |
| 1528508389 | Whole Woman's Health Alliance | Obstetrics & Gynecology | 4100 Duval Rd Ste 201, Austin, TX 78759-3550 | 2017-02-27 |
| 1568841815 | Veronica Gonzalez | Obstetrics & Gynecology | 1313 Red River St., Suite A1 Ut Austin Dell Medical School Ob/gyn, Austin, TX 78701-1943 | 2015-05-20 |
| 1033506118 | Sharon Vaz | Obstetrics & Gynecology | 11111 Research Blvd Ste 475, Austin, TX 78759-5283 | 2015-04-16 |
| 1902207871 | Whole Woman's Health of New Mexico LLC | Obstetrics & Gynecology | 8401 N Ih 35, Suite 1a, Austin, TX 78753-5751 | 2014-09-10 |
| 1275953168 | Zoey Roberts | Obstetrics & Gynecology | 1313 Red River St., Ste A1, Umc At Brackenridge Utsw Austin Obgyn, Austin, TX 78701 | 2014-04-18 |
| 1316381148 | Kristin Sarah Tabor | Obstetrics & Gynecology | 12201 Renfert Way Ste 200, Austin, TX 78758-5368 | 2013-04-23 |
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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.