Individual provider Active NPI

Meredith Cook

  • Medical Physician Assistant
  • Austin, TX
National Provider Identifier
1366958555
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA11533 Issued in TX
Practice address
7940 Shoal Creek Blvd Ste 205
Austin, TX 78757-8059
Phone
(512) 454-8378
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA11533 TX Primary

Addresses

Primary practice location

7940 Shoal Creek Blvd Ste 205
Austin, TX 78757-8059

Mailing address

12407 Emery Oaks Rd
Austin, TX 78758-2450
Phone (512) 299-6905

Other practice location 1

1130 Cottonwood Creek Trl Ste C1
Cedar Park, TX 78613-7862
Phone (512) 454-8378

Other practice location 2

1111 W 34th St Ste 210
Austin, TX 78705
Phone (512) 454-8378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180302000778 TX Practitioner - Physician Assistant 1254692494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Liver Consultants PAGroup PAC ID 6103063078, 36 clinicians

Practice addresses (Care Compare)

607 Camden St
Suite 108
San Antonio, TX 78215-2100
Phone (210) 253-3426

7940 Shoal Creek Blvd
Suite 205
Austin, TX 78757-8059
Phone (512) 454-8378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1366958555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12407 EMERY OAKS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582450",
            "telephone_number": "512-299-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 SHOAL CREEK BLVD STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578059",
            "telephone_number": "512-454-8378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Cottonwood Creek Trl Ste C1",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137862",
            "country_code": "US",
            "telephone_number": "512-454-8378",
            "fax_number": "888-965-8836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 W 34th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78705",
            "country_code": "US",
            "telephone_number": "512-454-8378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA11533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.