Individual provider Active NPI

Linda Susan Donovan, CPNP, FNPC

  • Pediatric Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1508986514
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
629991 Issued in TX
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
629991TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Health Clinic Pediatrics CurrentSince Feb 28, 2006 Accepting new patients
Peds Center of Round Rock PA PastSince Sep 8, 2019 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.

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.

Verify at the official NPI Registry.