Provider Demographics
NPI:1831417542
Name:COOLEY-PONDS, KATHLEAN (ACNS-BC)
Entity type:Individual
Prefix:MRS
First Name:KATHLEAN
Middle Name:
Last Name:COOLEY-PONDS
Suffix:
Gender:F
Credentials:ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 WYOMING SPRINGS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4304
Mailing Address - Country:US
Mailing Address - Phone:512-673-8983
Mailing Address - Fax:
Practice Address - Street 1:1807 W SLAUGHTER LN STE 485
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-6204
Practice Address - Country:US
Practice Address - Phone:512-297-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP122339364SA2200X, 363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health