KIMBERLY BRIDZEKE STATON


Address: 1201 E 7th St Ste 620, Austin, TX 78702-3222
Phone: 8003703651

KIMBERLY BRIDZEKE STATON (NPI# 1003396391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003396391
Entity Type Individual
Full Name KIMBERLY BRIDZEKE STATON
Credential APRN
Practice Address 1201 E 7th St Ste 620
Austin
TX 78702-3222
Mailing Address 55 Hatchetts Hill Rd
Old Lyme
CT 06371-1534
Practice Telephone 8003703651
Practice Fax Number 8775157147
Mailing Telephone 8003703651
Mailing Fax Number 8775157147
Enumeration Date 2018-08-16
Last Update Date 2018-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP138337 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY STATON

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1023617685 Kimberly Joy Staton Nurse Practitioner 301 University Blvd, Galveston, TX 77555-5303 2020-10-23
1508947557 Kimberly Ann Staton Counselor 725 Boardman Canfield Road, Building D, Boardman, OH 44512 2006-10-18

Office Location

Street Address 1201 E 7TH ST STE 620
City AUSTIN
State TX
Zip Code 78702-3222

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487207171 Enamel Dentistry Saltillo, Pllc Clinic/Center 901 E. 5th Street, Suite 170, Austin, TX 78702 2019-07-22
1730678616 Marci Lawson Counselor 1103 Cherico St Unit 3, Austin, TX 78702 2018-05-06
1730608340 Gloria Robertson Hatfield Social Worker 501 N I-35, Ste 112, Austin, TX 78702 2017-09-14
1083063168 Nona Mason Nurse Practitioner Ascension Seton Mccarthy Community Health Center, 2811 East 2nd Street, Austin, TX 78702 2016-06-08
1124487467 Sarah Beth Mclaughlin Social Worker 1631 E. 2nd St., Bldg. E, Austin, TX 78702 2016-02-15
1972969590 Austin Mind Body Counselor 905 E. 5th Street, Suite 102, Austin, TX 78702 2016-01-12
1972976777 Stacy Griffin Social Worker 1631 E. 2nd Street, Austin, TX 78702 2015-11-03
1396111894 Jocelyn Jarmon Health Maintenance Organization 1803 Ulit Avenue, Austin, TX 78702 2015-08-19
1396142972 Jillessa Fiorillo Social Worker 1631-d East 2nd Street, Austin, TX 78702 2014-11-26
1518390962 Emily Anna Murray Physical Therapist 1621 E 6th St # 11488, Austin, TX 78702 2013-08-20
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1609494251 Nandita Sarkar Nurse Practitioner 12804 Partridge Bend Dr, Austin, TX 78729-7385 2020-07-09
1295360477 Linda Dawn Dao Nurse Practitioner 1715 S Capital of Texas Hwy Ste 205, Austin, TX 78746-6561 2020-03-07
1518591460 Mynd Works Psychiatry, Pllc Nurse Practitioner 3724 Jefferson St Ste 206, Austin, TX 78731-6221 2020-03-01
1447726377 Alysse Rochelle Craft Nurse Practitioner 5339 N Interstate 35 Ste 100, Austin, TX 78723-2558 2018-10-18
1033691746 Malcolm Duncan Nurse Practitioner 7005 Mira Loma Ln Ste 101, Austin, TX 78723-1411 2018-08-30
1598201972 Jeffrey Wright Bayless Nurse Practitioner 4600 Monterey Oaks Blvd, Apt 2211, Austin, TX 78749-4300 2017-01-10
1316491368 Ryann Rathbone Nurse Practitioner 1600 W 38th St Ste 318, Austin, TX 78731-6406 2016-08-08
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Competitor

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City AUSTIN
Zip Code 78702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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