Individual provider Active NPI

Jennifer Mills Cardwell, M.D.

  • Pediatrics Physician
  • Cedar Park, TX
National Provider Identifier
1699824706
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L2170 Issued in TX
Practice address
345 Cypress Creek Rd Ste 104
Cedar Park, TX 78613-4484
Phone
(512) 336-2777
Fax
(512) 336-2778
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L2170 TX Primary

Addresses

Primary practice location

345 Cypress Creek Rd Ste 104
Cedar Park, TX 78613-4484

Mailing address

6034 W Courtyard Dr Ste 110
Austin, TX 78730-5064
Phone (512) 336-2777

Other practice location 1

701 Farm to Market 685
Suite 600
Pflugerville, TX 78660-7095
Phone (512) 808-0190

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L2170TXMDPediatrics Physician
L2120TXMDNeurology with Special Qualifications in Child Neurology Physician

Interoperability endpoints

  • Direct secure messaging: jennifer.cardwell.3@11316.direct.athenahealth.com
  • Direct secure messaging: jennifer.cardwell.2@11316.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1699824706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6034 W COURTYARD DR STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787305064",
            "telephone_number": "512-336-2777",
            "fax_number": "512-336-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CYPRESS CREEK RD STE 104",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134484",
            "telephone_number": "512-336-2777",
            "fax_number": "512-336-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Farm to Market 685",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786607095",
            "country_code": "US",
            "telephone_number": "512-808-0190",
            "fax_number": "512-808-0196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDWELL",
        "first_name": "JENNIFER",
        "middle_name": "MILLS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2170",
            "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 Mar 9, 2023; 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.