Audrey A Vandewalle, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11404 Issued in TX

Practice address

4210 Spicewood Springs Rd Ste 205
Austin, TX 78759-8654

Phone

(512) 863-7000

Fax

(512) 863-0066

NPI assigned

Mar 2, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Estes Chiropractic Clinic PC

  • Chiropractor
  • MC Dade, TX
  • NPI 1538160759
  NPD (past)

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1831412014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 DAWN DR",
            "address_2": "STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282864",
            "telephone_number": "512-863-7000",
            "fax_number": "512-231-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 SPICEWOOD SPRINGS RD STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598654",
            "telephone_number": "512-863-7000",
            "fax_number": "512-863-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3007 Dawn Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786282864",
            "country_code": "US",
            "telephone_number": "512-863-7000",
            "fax_number": "512-863-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEWALLE",
        "first_name": "AUDREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Vandermeer
• Caitlin Christine Vandermolen, FNP-C
• Emily Vanderpoel
• Jonathan Michael Vandever
• Alexander C. Vandewalle, D.C.
• Michael F Vandewalle, DC
• Laura E. Vandoren, N.P.
• Andrae Lavon Vandross, M.D.
• Katy Vandruff, LPC
• Hope Susan Vandyk, LPC-A

• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.