Provider Demographics
NPI:1528253739
Name:MEADOWS, ROBIN (RN, ACNS-BC)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:RN, ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4522 AVENUE G
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-3117
Mailing Address - Country:US
Mailing Address - Phone:512-497-2634
Mailing Address - Fax:512-406-6274
Practice Address - Street 1:4515 SETON CENTER PKWY STE 220
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5784
Practice Address - Country:US
Practice Address - Phone:512-338-8388
Practice Address - Fax:512-406-6274
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX720803364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX204134501Medicaid
TX204134502Medicaid
TX204134503Medicaid
TX204134504Medicaid
TX290499YKXVMedicare PIN
TX290499YKXYMedicare PIN
TX204134504Medicaid
TX204134503Medicaid