CHANIN MCCLURKIN (NPI# 1679029045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679029045 |
Entity Type | Individual |
Full Name | CHANIN MCCLURKIN |
Credential | APRN |
Practice Address |
10413 Walpole Ln Austin TX 78739-1553 |
Practice Telephone | 3107134847 |
Mailing Telephone | 3107134847 |
Enumeration Date | 2016-08-26 |
Last Update Date | 2017-04-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP129806 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10413 WALPOLE LN |
City | AUSTIN |
State | TX |
Zip Code | 78739-1553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255885745 | Pediaq LLC | Clinic/Center | 10413 Walpole Ln, Austin, TX 78739-1553 | 2016-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871002188 | Cole Stutz | Physical Therapist | 5401 La Crosse Ave., Building C, Suite 101, Austin, TN 78739 | 2017-09-29 |
1346796992 | Amanda Sylvie | Dietitian, Registered | 6604 Nusser Ln, Austin, TX 78739 | 2016-09-01 |
1609259431 | Marjan Aryannejad | Pharmacist | 10805 Tollesboro Cove, Austin, TX 78739 | 2015-06-29 |
1780071563 | Lauren Vaughn | Counselor | 11228 South Bay Lane, Austin, TX 78739 | 2015-04-20 |
1649552860 | Purvi Patel | Pharmacist | 12212 Tuberose Ter, Austin, TX 78739 | 2011-09-14 |
1780915124 | Stephanie Ann Etie | Behavioral Analyst | 5924 Rickerhill Ln, Austin, TX 78739 | 2010-01-25 |
1972724730 | Qiao Xu | Acupuncturist | 11236 South Bay Lane, Austin, TX 78739 | 2007-05-01 |
1740382084 | Ferril Chris Smith | Internal Medicine | 4104 Reynosa Dr, Austin, TX 78739 | 2006-09-05 |
1295235992 | Sally Elizabeth Stroud | Registered Nurse | 6405 Back Bay Ln, Austin, TX 78739-1402 | 2018-02-19 |
1982262317 | Adrienne Lee Wiggins | Registered Nurse | 6407 Old Harbor Ln, Austin, TX 78739-1405 | 2019-05-31 |
Find all providers in zip 78739 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891342903 | Jillian Lounsberry | Nurse Practitioner | 3000 N Ih 35 Ste 770, Austin, TX 78705-1853 | 2019-08-22 |
1790227106 | Natalie Buchanan | Nurse Practitioner | 7004 Bee Cave Roa, Austin, TX 78746 | 2016-11-16 |
1639558299 | Kayleigh Todd | Nurse Practitioner | 2500 Burleson Rd, Apt 316, Austin, TX 78741-5609 | 2015-05-28 |
1528445103 | Sarah Berger | Nurse Practitioner | 13917 W Hwy 71 Ste A, Austin, TX 78738 | 2015-05-02 |
1982007639 | Erin Nelson | Nurse Practitioner | 6618 Sitio Del Rio Blvd Ste A101, Austin, TX 78730-1144 | 2014-10-08 |
1720422504 | Emily Claire Wolfe | Nurse Practitioner | 5301b Davis Ln, Austin, TX 78749-3961 | 2013-04-23 |
1073890976 | Linda Jeanne Kangos | Nurse Practitioner | 12411 Hymeadow Dr Ste 3f, Austin, TX 78750-1829 | 2011-11-07 |
1154651636 | Karen L Borich | Nurse Practitioner | 1807 West Slaughter Lane, Suite 490, Austin, TX 78748-3632 | 2010-01-06 |
1396073946 | Stephanie Grace Slater | Nurse Practitioner | 9411 N Lamar Blvd Ste 120, Austin, TX 78753-4179 | 2009-11-19 |
1497991335 | Sara Napora | Nurse Practitioner | 3305 Clearview Dr, Austin, TX 78703-2747 | 2008-12-24 |
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.