MELANIE EDMONSTON MABE (NPI# 1861614513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861614513 |
Entity Type | Individual |
Full Name | MELANIE EDMONSTON MABE |
Credential | PNP |
Practice Address |
1301 Medical Pkwy Cedar Park TX 78613-2423 |
Mailing Address |
6811 Austin Center Blvd Ste 400 Austin TX 78731-3157 |
Practice Telephone | (512) 494-4000 |
Practice Fax Number | 5124567426 |
Mailing Telephone | (512) 494-4000 |
Mailing Fax Number | 5124944024 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2017-06-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
574711 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 191135602 | 05 |
Street Address |
1301 MEDICAL PKWY |
City | CEDAR PARK |
State | TX |
Zip Code | 78613-2423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386192656 | Surgeons Who Only Care for Kids, Pa | Surgery | 1301 Medical Pkwy, Suite 200, Cedar Park, TX 78613-2305 | 2016-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
Find all providers in zip 78613 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811524135 | Jessica White | Nurse Practitioner | 1805 Indian Lodge Dr, Cedar Park, TX 78613-2470 | 2020-03-25 |
1366920548 | Caitlin Elizabeth Whiteman | Nurse Practitioner | 1464 E Whitestone Blvd Ste 2104, Cedar Park, TX 78613-9079 | 2018-07-31 |
1124514450 | Jill Stanley | Nurse Practitioner | 1730 E Whitestone Blvd Ste 101, Cedar Park, TX 78613-7285 | 2018-07-10 |
1104123074 | Jacqueline Sanner | Nurse Practitioner | 190 Buttercup Crk, Cedar Park, TX 78613-3772 | 2011-02-11 |
1780229237 | Sarah Dodds | Nurse Practitioner | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613-4484 | 2019-11-07 |
1619492741 | Danielle Duhon | Nurse Practitioner | 1401 Medical Pkwy Ste 150, Cedar Park, TX 78613-5026 | 2017-08-09 |
1730441049 | Kathy Nguyen Ramirez | Nurse Practitioner | 1401 Medical Pkwy Ste 150, Cedar Park, TX 78613-5026 | 2012-06-12 |
1548593841 | Mary P King | Nurse Practitioner | 190 Buttercup Creek Blvd, Cedar Park, TX 78613-3772 | 2009-09-18 |
1508986514 | Linda Susan Donovan | Nurse Practitioner | 601 E Whitestone Blvd, Suite 308, Cedar Park, TX 78613-9015 | 2007-03-31 |
1780710319 | Lighthouse Health Clinic | Nurse Practitioner | 601 E Whitestone Blvd, Suite 308, Cedar Park, TX 78613-9015 | 2007-02-26 |
Find all providers in CEDAR PARK |
City | CEDAR PARK |
Zip Code | 78613 |
Please comment or provide details below to improve the information on MELANIE EDMONSTON MABE.
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.