Wildflower Breast Center, PLLC

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

WILDFLOWER BREAST CENTER, PLLC

Practice address

4613 Bee Caves Rd # A120
West Lake Hills, TX 78746-5203

Phone

(512) 862-1881

NPI assigned

Aug 5, 2022

Organization subpart

No

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

Authorized official

Name

Micaela Cottrell

Title

Executive Assistant

Phone

(512) 862-1881

Specialties & licenses 1

Addresses

Other names 1

• Wildflower Breast Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelica Marie Fierro, FNP

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1417709783
  Medicare reassignment Care Compare group NPD
• Sangeetha Lakshmi Kolluri, DO

  • Surgical Oncology Physician
  • West Lake Hills, TX
  • NPI 1790096543
  Medicare reassignment Care Compare group NPD
• Hannah Ramsey, PA-C

  • Physician Assistant
  • West Lake Hills, TX
  • NPI 1750085916
  Medicare reassignment Care Compare group NPD
• Meagan Moulton, PA

  • Physician Assistant
  • Denver, CO
  • NPI 1790472280

  TX

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1104553494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LOHMANS CROSSING RD STE 504714",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787345217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVES RD # A120",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465203",
            "telephone_number": "512-862-1881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Dacy Ln Ste 250",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786404197",
            "country_code": "US",
            "telephone_number": "512-862-1881",
            "fax_number": "512-862-2433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILDFLOWER BREAST CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "MICAELA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "512-862-1881"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildflower Breast Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wildflower Breast Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Whipple, M.S., BCBA
• Todd Oliver Whipple, DC
• Joe David Whittemore II, PT, DPT, SCS
• Catherine Whitten, LPC
• Elaina D Whittenhall, ATR-BC, LPC-AT, LCPC
• Wildflower Counseling Atx, LLC
• Lindsay Wiley, MAD, LPC-A
• Robyn K Wiley, OT
• Wilfong Nutrition Limited Liability Company
• Anne L Wilfong, RD

• Surgical Oncology Physician in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Surgical Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.