TRIANNA ILISE CORDOVA (NPI# 1891317533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891317533 |
| Entity Type | Individual |
| Full Name | TRIANNA ILISE CORDOVA |
| Credential | FNP-C |
| Practice Address |
1717 Scottsdale Dr Ste 120 Cedar Park TX 78641-4340 |
| Mailing Address |
8611 Bryer Creek Trl Austin TX 78717-4859 |
| Practice Telephone | 5124897997 |
| Mailing Telephone | 5126982179 |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2020-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP142858 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1717 SCOTTSDALE DR STE 120 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78641-4340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064123 | Elizabeth Rodriguez | Registered Nurse | 1717 Scottsdale Dr Ste 120, Cedar Park, TX 78641-4340 | 2020-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877655 | Hero Medical Services, Pllc | Clinic/Center | 12621 Hero Way West, Leander, TX 78641 | 2020-10-02 |
| 1750923231 | Catherine Mary Garza | Behavioral Analyst | 2205 S Bagdad Road, Leander, TX 78641 | 2019-10-16 |
| 1770067886 | Thomas Lee Simms | Specialist | 11699 Hero Way W Ste 120, Leander, TX 78641 | 2018-09-25 |
| 1568977635 | Alyse Kathleen Paull | Nurse Practitioner | 709 S. Bagdad Rd, Leander, TX 78641 | 2017-12-11 |
| 1265961478 | Preston Hansen | Dentist | 1825 Crystal Falls Pkwy Ste 130, Leander, TX 78641 | 2017-06-09 |
| 1427584689 | Ryan Purkhiser | Student in an Organized Health Care Education/Training Program | 2321 Molly Ln, Leander, TX 78641 | 2017-05-10 |
| 1548718224 | Amberlee Boverhuis | Emergency Medical Technician, Basic | 2406 Socorro Bnd, Leander, TX 78641 | 2016-09-12 |
| 1588058093 | Rebecca Adams | Counselor | 301 N Highway 183 Ste B, Leander, TX 78641 | 2015-03-23 |
| 1609287010 | Chelsea Nicole Johnson | Pediatrics | 709 South Bagdad Road, North Austin Pediatrics, Leander, TX 78641 | 2014-05-20 |
| 1568896231 | Lisa Pomeroy | Naturopath | 801 S Highway 183 # 592, Leander, TX 78641 | 2013-08-29 |
| Find all providers in zip 78641 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678347 | Prime Telecare LLC | Nurse Practitioner | 2251 Bagdad Rd Unit 102, Cedar Park, TX 78613-6521 | 2020-10-30 |
| 1326517509 | Camett Michelle Moore | Nurse Practitioner | 1130 Cottonwood Creek Trl Ste B1, Cedar Park, TX 78613-7862 | 2018-11-18 |
| 1790292704 | Katherine Newton | Nurse Practitioner | 205 Denali Pass Ste B, Cedar Park, TX 78613-7858 | 2017-12-29 |
| 1417254848 | Dawn K Brown | Nurse Practitioner | 1107 Brookside Cv, Cedar Park, TX 78613-4238 | 2011-02-21 |
| 1164994448 | Damaris Vasquez | Nurse Practitioner | 801 E Whitestone Blvd Ste 201, Cedar Park, TX 78613-7559 | 2018-12-26 |
| 1770083123 | Billie Theel | Nurse Practitioner | 1905 S Lakeline Blvd Ste 4, Cedar Park, TX 78613-4660 | 2018-02-12 |
| 1619488053 | Andrew Kester | Nurse Practitioner | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613-4484 | 2017-10-12 |
| 1467987990 | Sarah Williamson | Nurse Practitioner | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613-4484 | 2017-04-21 |
| 1235509704 | Kelly Aller | Nurse Practitioner | 507 Denali Pass Ste 604, Cedar Park, TX 78613-7766 | 2015-09-28 |
| 1033417266 | Monica Lane | Nurse Practitioner | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613 | 2011-03-11 |
| Find all providers in CEDAR PARK | ||||
| City | CEDAR PARK |
| Zip Code | 78641 |
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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.