NEURO PROTECTIVE SERVICES OF FLORIDA, INC (NPI# 1649450107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649450107 |
| Entity Type | Organization |
| Organization Name | NEURO PROTECTIVE SERVICES OF FLORIDA, INC |
| Other Organization Name | NEURO PROTECTIVE SERVICES |
| Practice Address |
3724 Executive Center Dr Suite 163 Austin TX 78731-1646 |
| Practice Telephone | 5128733344 |
| Practice Fax Number | 5128733347 |
| Mailing Telephone | 5128733344 |
| Mailing Fax Number | 5128733347 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |
| Authorized Official Name | MR. CHRISTOPHER M PETIPRIN (PRES.) |
| Authorized Official Telephone | 5128733344 |
| Authorized Official Credential | CNIM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Neuro Protective Services | Doing Business As Name - Organization |
| Street Address |
3724 EXECUTIVE CENTER DR SUITE 163 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861436933 | Sylvia Elizabeth Deily | Chiropractor | 3724 Executive Center Dr, Suite G10, Austin, TX 78731-1646 | 2006-06-16 |
| 1679110233 | Jakob Richard Allen | Specialist | 3724 Executive Center Dr, Austin, TX 78731-1646 | 2019-12-03 |
| 1609324136 | Danielle Eschelbach | Physical Therapist | 3724 Executive Center Dr, Suite G10, Austin, TX 78731-1646 | 2016-09-13 |
| 1508234105 | Lisa Marie Higgs | Nurse Practitioner | 3724 Executive Center Dr, Ste 230, Austin, TX 78731-1646 | 2015-09-13 |
| 1053788828 | Sherrel Downes | Nurse Practitioner | 3724 Executive Center Dr, 230, Austin, TX 78731-1646 | 2015-08-28 |
| 1417336256 | Gary Alan Hopkins, Md, Pa | Clinic/Center | 3724 Executive Center Dr, Austin, TX 78731-1646 | 2015-05-27 |
| 1003295429 | Chudleigh, Pa | Clinical Nurse Specialist | 3724 Executive Center Dr, Ste 230, Austin, TX 78731-1646 | 2015-05-19 |
| 1962897116 | Lauren Brittany Williams | Nurse Practitioner | 3724 Executive Center Dr, Ste. 230, Austin, TX 78731-1646 | 2015-04-04 |
| 1942690359 | Olivia Chinenye Gachomo | Nurse Practitioner | 3724 Executive Center Dr, Austin, TX 78731-1646 | 2015-01-24 |
| 1053720631 | Arlene Meyer | Clinical Nurse Specialist | 3724 Executive Center Dr, Suite 230, Austin, TX 78731-1646 | 2014-08-07 |
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| 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 |
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| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936779 | Stimulating Instruments | Specialist/Technologist, Other | 312 Ridgewood Rd, Austin, TX 78746-4619 | 2019-01-23 |
| 1417491317 | Corey Villalobos | Specialist/Technologist, Other | 800 W 5th St Apt 1008, Austin, TX 78703-5445 | 2016-12-12 |
| 1588053011 | Neurophysiologic Interpretive Services, LLC | Specialist/Technologist, Other | 4301 W William Cannon Dr Ste B150, #197, Austin, TX 78749-1487 | 2015-01-21 |
| 1750729000 | Optimal Recovery Systems | Specialist/Technologist, Other | 5656 Bee Caves Road Suite K-200, Austin, TX 78746 | 2013-06-10 |
| 1477830958 | Midwest Neurodiagnostics | Specialist/Technologist, Other | 3724 Executive Center Dr Ste 163, Austin, TX 78731-1631 | 2011-11-10 |
| 1215061494 | Neurodiagnostic Consultants, Inc. | Specialist/Technologist, Other | 3724 Executive Center Drive #163, Austin, TX 78731 | 2007-03-16 |
| 1255868675 | Melody Nallia | Specialist/Technologist, Other | 800 W 5th St, Austin, TX 78703-5434 | 2017-05-16 |
| 1629528336 | Traxx Connected, LLC | Specialist/Technologist, Other | 800 W 5th St, Unit 1008, Austin, TX 78703-5434 | 2016-10-05 |
| 1841740552 | Traxx Federated, LLC | Specialist/Technologist, Other | 800 W 5th St, Unit 1008, Austin, TX 78703-5434 | 2016-10-05 |
| 1548710254 | Traxx Blue, LLC | Specialist/Technologist, Other | 800 W 5th St, Unit 1008, Austin, TX 78703-5434 | 2016-10-05 |
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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.