HEIDI JOONHEE KOOK-WILLIS (NPI# 1952804650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952804650 |
| Entity Type | Individual |
| Full Name | HEIDI JOONHEE KOOK-WILLIS |
| Credential | AGNP-C |
| Practice Address |
12731 Research Blvd Ste 301c Austin TX 78759-4383 |
| Mailing Address |
2100 E 10th St Austin TX 78702-3412 |
| Practice Telephone | 5122570497 |
| Mailing Telephone | 5126577294 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP136938 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12731 RESEARCH BLVD STE 301C |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-4383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311719 | Audra Puffer | Nurse Practitioner | 12731 Research Blvd Ste 301c, Austin, TX 78759-4383 | 2018-10-01 |
| 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 | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639544794 | Susan Baby | Nurse Practitioner | 901 S Mopac Expressway, Building II Suite 130, Austin, TX 78746-5776 | 2015-12-01 |
| 1861878464 | Mary Gomez | Nurse Practitioner | 6806 Edinburgh Cv, Austin, TX 78749-2402 | 2015-08-05 |
| 1720310436 | Laurie Ann Ferraro | Nurse Practitioner | 4509 Norman Trl, Austin, TX 78749-1154 | 2010-02-04 |
| 1104909688 | Otis D Wright | Nurse Practitioner | 7005 Mira Loma Ln, Suite 102, Austin, TX 78723-1411 | 2006-10-20 |
| 1447287925 | Janice Moore | Nurse Practitioner | 7201 Ranch Road, 2222 Apt 3318, Austin, TX 78730-3228 | 2006-06-28 |
| 1023002722 | Milbrey Raney | Nurse Practitioner | 7201b Manchaca Rd, Austin, TX 78745-5259 | 2005-09-08 |
| 1013521780 | Sindhu Joseph | Nurse Practitioner | 6909 Burnet Ln, Austin, TX 78757 | 2020-09-01 |
| 1225527344 | Amber Chanel Armstrong | Nurse Practitioner | 313 E 12th St Ste 101, Austin, TX 78701-1955 | 2018-05-03 |
| 1811436439 | Peggy Bielke | Nurse Practitioner | 11211 Taylor Draper Ln, Austin, TX 78759-3916 | 2017-02-15 |
| 1649726563 | Berril R Joseph | Nurse Practitioner | 11211 Taylor Draper Ln, Ste 202, Austin, TX 78759 | 2016-08-31 |
| 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.