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Gerontology (Clinical Nurse Specialist)
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NPI 1003295429
● Active Type 2 · Organization
Chudleigh, PA
Gerontology (Clinical Nurse Specialist) · Austin, TX · NPI 1003295429
·
Enumerated 2015 · 11 years on NPI
Chudleigh, PA is 1 of 53 gerontology (clinical nurse specialist) organizations in Texas.
NPI age
11 years
Enumerated 2015-05-19
Primary specialty
Gerontology (Clinical Nurse Specialist)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Chudleigh
Medical Director
Last NPPES update
2015-05-19
Source: CMS NPPES provider record
How this organization compares
Across 53 active gerontology (clinical nurse specialist) providers in Texas.
NPI age
11 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2015 → 2015
2015-05 Enumerated in NPPES
2015
2015
Where they practice
Primary practice location
3724 Executive Center Dr, Ste 230
Austin, TX 787311646
📞 5124522100 fax 8554567410
Mailing address
3724 Executive Center Dr, Ste 230
Austin, TX 787311646
📞 5124522100 fax 8554567410
Authorized official
James C Chudleigh, MD
Medical Director
📞 5124522100
Other providers sharing this address
13 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
Jakob Allen , MS
Specialist
NPI 1679110233
Sylvia Deily , D.C.
Chiropractor
NPI 1861436933
Patricio Erhard , M.ED., BCBA
Behavior Analyst
NPI 1720540388
Danielle Eschelbach , DPT
Physical Therapist
NPI 1609324136
Jason Fuller , D.C.
Chiropractor
NPI 1164537387
Olivia Gachomo , PMHMP
Nurse Practitioner
NPI 1942690359
Lisa Higgs , FNP
Nurse Practitioner
NPI 1508234105
Trent McGinty , P.T.
Physical Therapist
NPI 1114935988
Arlene Meyer , AGCNS-BC
Clinical Nurse Specialist
NPI 1053720631
Raymond Nofi , P.T.
Physical Therapist
NPI 1275647778
Mark Queralt , M.D.
Physical Medicine & Rehabilitation
NPI 1437160934
Viet Tran , M.D.
Orthopaedic Surgery
NPI 1316050990
Ross Vines , P.T.
Physical Therapist
NPI 1679687180
Specialties
Clinical Nurse Specialist
Primary
CMS NPPES uses NUCC taxonomy code 364SG0600X for provider records classified as Gerontology within Clinical Nurse Specialist. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services...
TX license #F1450 taxonomy 364SG0600X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Shared NPPES address.
13 individual providers use this primary address. This does not prove employment or affiliation.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Provider record updated 2015-05-19
· Source: CMS NPPES bulk export. Check the linked CMS record for the latest source entry.
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