Provider Demographics
NPI:1104258169
Name:TOMPKINS, MEREDITH (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:ELDREDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3355 BEE CAVES RD.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746
Mailing Address - Country:US
Mailing Address - Phone:512-795-4344
Mailing Address - Fax:512-928-9466
Practice Address - Street 1:3355 BEE CAVES RD.
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-795-4344
Practice Address - Fax:512-928-9466
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123898363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health