PAULINE OTIENO (NPI# 1790130292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790130292 |
| Entity Type | Individual |
| Full Name | PAULINE OTIENO |
| Practice Address |
3901a Spicewood Springs Rd Suite 202 Austin TX 78759-8723 |
| Mailing Address |
17855 Park Valley Dr Round Rock TX 78681-3509 |
| Practice Telephone | 7372266700 |
| Practice Fax Number | 7372266777 |
| Mailing Telephone | 5125078075 |
| Mailing Fax Number | 5122460995 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP130845 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3901A SPICEWOOD SPRINGS RD SUITE 202 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-8723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215985718 | Valerie Maxine Chavez | Internal Medicine | 3901a Spicewood Springs Rd, Suite 201, Austin, TX 78759-8723 | 2006-05-05 |
| 1437706132 | Vanessa Barlow | Registered Nurse | 3901a Spicewood Springs Rd, Austin, TX 78759-8723 | 2019-08-19 |
| 1235680406 | Sheritha Chambliss | Registered Nurse | 3901a Spicewood Springs Rd, Ste 201, Austin, TX 78759-8723 | 2016-10-21 |
| 1881065357 | Christopher Young | Nurse Practitioner | 3901a Spicewood Springs Rd, Austin, TX 78759-8723 | 2015-10-09 |
| 1043647696 | Brittany Bohl Smith | Nurse Practitioner | 3901a Spicewood Springs Rd, Ste 201, Austin, TX 78759-8723 | 2013-09-27 |
| 1366678963 | Brian Joel Cooper | Internal Medicine | 3901a Spicewood Springs Rd, Ste 201, Austin, TX 78759-8723 | 2009-06-09 |
| 1932295367 | Joanna Lea Holle | Clinical Nurse Specialist | 3901a Spicewood Springs Rd, Ste. 102, Austin, TX 78759-8723 | 2006-10-05 |
| 1427084763 | Paula Veronica Requeijo | Internal Medicine | 3901a Spicewood Springs Rd, Suite #201, Austin, TX 78759-8723 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| 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.