Active NPI
Linda Susan Donovan, CPNP, FNPC
- Pediatric Nurse Practitioner
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 629991
- Practice address
- 601 E Whitestone Blvd Ste 308
Cedar Park, TX 78613-9041 - Phone
- (512) 528-9996
- NPI assigned
- Mar 31, 2007
- Last updated
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 629991 | TX | Primary |
Addresses
Primary practice location
601 E Whitestone Blvd Ste 308
Cedar Park, TX 78613-9041
Mailing address
601 E Whitestone Blvd
Suite 308
Cedar Park, TX 78613-9015
Phone (512) 528-9996
Other practice location 1
601 E Whitestone Blvd
Suite 308
Cedar Park, TX 78613-9015
Phone (512) 928-9996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 629991 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Health Clinic | Pediatrics | Current | Accepting new patients |
| Peds Center of Round Rock PA | Past | Accepting new patients | |
| Pediatric Care of Austin, PA | Past | Accepting new patients | |
| Peds Center of Round Rock PA | Past | Accepting new patients |
Locations
601 E Whitestone Blvd
Ste 308
Cedar Park, TX 78613
Phone (512) 528-9996
601 E Whitestone Blvd
Ste 708
Cedar Park, TX 78613
Phone (512) 413-4832
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lighthouse Pediatrics
- Pediatric Nurse Practitioner
- Cedar Park, TX
- NPI 1780710319
Pediatrics
-
- Pediatrics Physician
- Austin, TX
- NPI 1497959373
-
- Pediatrics Physician
- Elgin, TX
- NPI 1033767975
-
- Pediatrics Physician
- Odessa, TX
- NPI 1588149991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1508986514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E WHITESTONE BLVD",
"address_2": "SUITE 308",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786139015",
"telephone_number": "512-528-9996",
"fax_number": "512-528-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E WHITESTONE BLVD STE 308",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786139041",
"telephone_number": "512-528-9996"
}
],
"practiceLocations": [
{
"address_1": "601 E Whitestone Blvd",
"address_2": "Suite 308",
"address_purpose": "LOCATION",
"city": "Cedar Park",
"state": "TX",
"postal_code": "786139015",
"country_code": "US",
"telephone_number": "512-928-9996",
"fax_number": "512-928-9070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONOVAN",
"first_name": "LINDA",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "CPNP, FNPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-31",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "629991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.