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5900 Balcones Dr Ste 165, Austin, TX 78731-4293 | |
| (512) 338-4500 | |
| (512) 338-4501 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 5900 Balcones Dr Ste 165, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417997024 | NPI | - | NPPES |
| 0066NR | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | N/A (* (Not Available)) | Primary |
| Provider Name | Michelle V Madsen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649210246 PECOS PAC ID: 9931144722 Enrollment ID: I20050622000821 |
| Provider Name | Elizabeth Hanawalt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508185562 PECOS PAC ID: 5799818837 Enrollment ID: I20100727000337 |
| Provider Name | Jessica Xian Chen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528459138 PECOS PAC ID: 8325365653 Enrollment ID: I20150326000794 |
| Provider Name | Carla Cos |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699289801 PECOS PAC ID: 9133486806 Enrollment ID: I20171205002461 |
| Provider Name | Laura Walker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124394994 PECOS PAC ID: 4385957802 Enrollment ID: I20190723000255 |
| Provider Name | Sydney C Mcavoy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992315121 PECOS PAC ID: 1557772159 Enrollment ID: I20201203002197 |
| Provider Name | Danielle Kuhn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679227813 PECOS PAC ID: 5294120416 Enrollment ID: I20220324001450 |
| Provider Name | Elaine Marie Gorman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881300408 PECOS PAC ID: 2567825284 Enrollment ID: I20230829002090 |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 171235, Austin, TX 78717-0042 Ph: (512) 250-9140 | 5900 Balcones Dr Ste 165, Austin, TX 78731-4293 Ph: (512) 338-4500 |
Adriana Krueger, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12209 Alcanza Dr, Austin, TX 78739 Phone: 512-550-4849 | |
Kimberley Bandelier, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St, Suite 104, Austin, TX 78731 Phone: 512-693-7045 | |
Gabrielle Palmeri, MDN, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 412-692-7699 | |
Chelsea Davidson, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2208 E 14th St, Austin, TX 78702 Phone: 410-236-1181 | |
Claire Hafner, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-544-4077 | |
Lauren Mcgill, MS, RDN, CSSD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4613 Herzog St, Austin, TX 78723 Phone: 480-600-2021 | |
Erin Marie Rigney, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5555 N Lamar Blvd, Ste D-125, Austin, TX 78751 Phone: 512-757-0174 |