NPPES file of Aug 9, 2026

Ladera Park Dermatology, PA in Austin, TX

This location of Ladera Park Dermatology bills under NPI 1417010935, an organization record issued on Dec 18, 2006 with the primary taxonomy Dermatology Physician. It is one of 2 NPIs registered under this name and one of 2 in Austin; each clinician who sees you there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1417010935
Legal name
Ladera Park Dermatology, PA
Entity
Type 2 · organization
Primary taxonomy
Dermatology Physician 207N00000X
Practice location
11671 JOLLYVILLE RD STE 104, Austin, TX 78759
Phone
512-345-3599
Enumerated
Dec 18, 2006
Record updated
Feb 27, 2013
Authorized official
President (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

The other Austin NPI

  1. Ladera Park Dermatology PA11671 JOLLYVILLE RD STE 104 · issued Jun 8, 20171225567704

3 clinicians CMS lists with Ladera Park Dermatology in Austin

  1. Adrienne Feasel, MDDermatology Physician1982664447
  2. Melissa Frost, PA-CPhysician Assistant1518123900
  3. Brooke Stidham, PACPhysician Assistant1134450497

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

All 2 Ladera Park Dermatology NPIs

Every location registered under this name, in 1 city.

See every location

Checking an organization

  1. Confirm the business with the Texas secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Which Austin NPI should I use?

Ask the office which NPI it bills under; all 2 Austin NPIs are registered under the same name.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.