Registry record
- NPI
- 1104470590
- Profession
- Nurse Practitioner (NP)
- Specialty
- Family Nurse Practitioner (363LF0000X)
- Practice address
- 3725 N Lakeline Blvd Ste C
Leander, TX 78641 - Phone
- 2817838162
- In the registry since
- July 24, 2019
- Last NPPES update
- December 21, 2022
- Sole proprietor
- No
- License
- AP142417 (TX)
At this location
2 other providers in our data list 3725 N Lakeline Blvd Ste C, Leander as a practice address:
- Lydia Ashley Cortez, NP
Nurse Practitioner · NPI 1710316260
- Candice Hessel, FNP-C
Nurse Practitioner · NPI 1053781898
In context
The NPI number of Timothy Mack is 1104470590. They are a Family Nurse Practitioner in Leander, Texas.
Timothy Mack is one of 20 Family Nurse Practitioners in Leander and one of 22,499 across Texas in our data.
The NPI has been in the federal registry for 6 years, since July 24, 2019.
Frequently asked questions
What is NPI 1104470590?
NPI 1104470590 is the 10-digit National Provider Identifier assigned to Timothy Mack, a Family Nurse Practitioner practicing in Leander, Texas. The record has been in the NPPES registry since July 24, 2019.
How do I verify this provider?
Cross-check NPI 1104470590 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license AP142417 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as December 21, 2022. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.