Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285194126 Individual Practitioner Female Practitioner

Li Juan Polvadore

Nurse Practitioner • Pflugerville, TX

Professional Overview & Biography Verified Profile Summary

Li Juan Polvadore is a registered healthcare professional specializing in Nurse Practitioner in Pflugerville, TX. Practice services are available at 305 N HEATHERWILDE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

305 N Heatherwilde Blvd

Pflugerville, TX 786603757

Telephone 8776378387
Associated Practice Facility / Clinic
🏢 Bachler Chiropractic Pllc Facility NPI 1699107276

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Pflugerville, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Pflugerville, TX (4894 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP133716

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX AP133716

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License TX AP133716

Definition to come...

Secondary Practice Locations

15850 Export Plaza Dr

Houston, TX 770322545

Phone: 2819858511

902 Frostwood Dr Ste 201

Houston, TX 770242402

Phone: 8328694818

23838 Highway 59 N

Kingwood, TX 773391531

Phone: 8328694818

7877 Willow Chase Blvd

Houston, TX 770705934

Phone: 8328694818

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Safa Fehri , MD

Family Medicine

NPI 1104447598

Doctor of Medicine (M.D.)

Sharon Moulton , CRNP-FAMILY

Nurse Practitioner - Family

NPI 1235674078

CRNPFAMILY

NPI 1306041231

Doctor of Osteopathic Medicine (D.O.)

Alisha Ostermair , APRN

Nurse Practitioner - Family

NPI 1710119615

Advanced Practice Registered Nurse

Elizabeth Alexander , NP

Nurse Practitioner - Family

NPI 1962858233

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 16, 2025

Registered at 305 N HEATHERWILDE BLVD, PFLUGERVILLE, TX 786603757 (Tel: 8776378387)

📍
Updated Practice Location July 10, 2023

Registered at 7877 WILLOW CHASE BLVD, HOUSTON, TX 770705934 (Tel: 8328694818)

NPI Profile Active March 25, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2019

Registered at 15850 EXPORT PLAZA DR, HOUSTON, TX 770322545 (Tel: 2819858511)

📍
Updated Business Mailing Address March 25, 2019

Registered at 4110 BLUE FOREST DR, HUMBLE, TX 773463245 (Tel: 4058310128)

👤
Provider Name / Credentials Updated March 25, 2019

Recorded as LI JUAN POLVADORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2019

Nurse Practitioner (License #AP133716 in TX)

🟢
Initial NPI Registration & Enumeration March 25, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285194126
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2019
Last Update: August 16, 2025
Sole Proprietor: Yes

Mailing Address

4110 Blue Forest Dr

Humble, TX 773463245

Phone: 4058310128

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.