MICHELLE STERNICZUK (NPI# 1720476872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720476872 |
| Entity Type | Individual |
| Full Name | MICHELLE STERNICZUK |
| Credential | FNP |
| Practice Address |
2610 Lake Austin Blvd Austin TX 78703-4429 |
| Practice Telephone | 5124771261 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP144251 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP144251 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN1036145 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 7th St Nw, Washington, DC 200013717 | 2027895345 |
| Street Address |
2610 LAKE AUSTIN BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548364383 | Cvs Pharmacy Inc | Pharmacy | 2610 Lake Austin Blvd, Austin, TX 78703-4453 | 2006-09-12 |
| 1588279665 | Jonathan Lim | Pharmacist | 2610 Lake Austin Blvd, Austin, TX 78703-4429 | 2020-09-15 |
| 1881208155 | Carolyn Gallets | Pharmacist | 2610 Lake Austin Blvd, Austin, TX 78703-4429 | 2020-09-03 |
| 1497365282 | Stacey Lamour Gonzalez | Registered Nurse | 2610 Lake Austin Blvd, Austin, TX 78703-4429 | 2020-08-05 |
| 1770056368 | Brandy Davis | Nurse Practitioner | 2610 Lake Austin Blvd, Austin, TX 78703-4429 | 2019-01-07 |
| 1699211391 | Heather Scolaro | Registered Nurse | 2610 Lake Austin Blvd, Austin, TX 78703-4429 | 2017-01-18 |
| 1235564873 | Tiffany Lynn White | Nurse Practitioner | 2610 Lake Austin Blvd, Austin, TX 78703-4429 | 2013-09-12 |
| 1265659783 | Dawn Bridgit Hollembeak | Nurse Practitioner | 2610 Lake Austin Blvd, Austin, TX 78703-4429 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1053779207 | Bodhi Leaf, Pllc | Social Worker | 1300 West Lynn Drive, Suite 207, Austin, TX 78703 | 2016-02-03 |
| 1073904447 | Danielle Frommer | Behavioral Analyst | 311 Bowie St Apt 1903, Austin, TX 78703 | 2015-02-06 |
| 1437391711 | Brett Douglas Macadam | Radiology | 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 | 2009-04-01 |
| 1184878191 | Albright Medical Associates | Family Medicine | 800 W. 5th St, #201, Austin, TX 78703 | 2008-11-05 |
| 1063616662 | Anna C Bell | Pediatrics | 1912 N. 35th St., Austin, TX 78703 | 2007-06-14 |
| 1447472808 | Austin Wellness Institute | General Practice | 1501 W 5th Street, Suite 109, Austin, TX 78703 | 2007-05-03 |
| 1487871968 | Joni K Wallace | Dentist | 2414 Exposition Blvd, Suite B-105, Austin, TX 78703 | 2007-04-19 |
| 1073631339 | Tays General Dentistry Pa | Dentist | 3404 Kerbey Lane, Austin, TX 78703 | 2007-03-26 |
| 1083758270 | Amy Carlisle Goodwin | Counselor | 2408 Enfield Rd, #213, Austin, TX 78703 | 2007-02-19 |
| Find all providers in zip 78703 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616992 | Nancy Toll | Nurse Practitioner | 8600 N Fm 620 Rd Apt 936, Austin, TX 78726-3535 | 2020-10-13 |
| 1003413055 | Anthony Delovino Lista | Nurse Practitioner | 311 Bowie St Apt 1215, Austin, TX 78703-5296 | 2020-10-02 |
| 1366049553 | Lauren Nicole Crider | Nurse Practitioner | 3601 S Congress Ave Ste D100, Austin, TX 78704-7205 | 2020-10-01 |
| 1366059784 | Teresa Marie Reed | Nurse Practitioner | 3921 Steck Ave Ste A120, Austin, TX 78759-8669 | 2020-09-29 |
| 1144836289 | Amy Silva | Nurse Practitioner | 1824 Rainy Meadows Dr, Austin, TX 78758-3518 | 2020-09-22 |
| 1326652470 | Carolyn Lee Stanford | Nurse Practitioner | 14902 Crosscreek, Austin, TX 78737-8904 | 2020-09-06 |
| 1457965899 | Lorie Kmetz | Nurse Practitioner | 1907 Alguno Rd, Austin, TX 78757-3220 | 2020-09-02 |
| 1184238735 | Amanda Kanski | Nurse Practitioner | 9525 N Capital of Texas Hwy Unit 416, Austin, TX 78759-7294 | 2020-09-01 |
| 1487265013 | Lisa Karen Brogan | Nurse Practitioner | 1805 Forest Hill Dr, Austin, TX 78745-1720 | 2020-08-17 |
| 1992316327 | Mona Saberi | Nurse Practitioner | 15024 Calaveras Dr, Austin, TX 78717-4577 | 2020-08-10 |
| 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.