Austin Thomas Wissman

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

333074 Issued in TX

Practice address

12407 N Mopac Expy
Austin, TX 78758-2475

Phone

(512) 339-6644

Fax

(866) 536-8140

NPI assigned

Jan 9, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1073384020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12407 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582475",
            "telephone_number": "737-202-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12407 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582475",
            "telephone_number": "512-339-6644",
            "fax_number": "866-536-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSMAN",
        "first_name": "AUSTIN",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "333074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wish Upon a Star Pediatric Therapy PLLC
• David S Wishnew, M.D.
• Sharon A Wisnieski, OT
• Shelby Paige Wisor, M.ED., BCBA
• Jennilee Ariel Wisselman
• Alex Witarsa, BCBA
• Danielle Adler Witchel, LCSW
• With Melissa, PLLC
• Kyrsten Jaquelyn Withem, NONE
• George H. Withers PH.D., PHD

• Pharmacy Technician in Austin, TX
• Providers in Austin, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.