KRISTIN MARIE MASSIMO (NPI# 1104248772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104248772 |
| Entity Type | Individual |
| Full Name | KRISTIN MARIE MASSIMO |
| Credential | PA-C |
| Practice Address |
13111 East Fwy Houston TX 77015-5803 |
| Practice Telephone | 2032172263 |
| Mailing Telephone | 2032172263 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2018-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA08773 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13111 EAST FWY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77015-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821586 | Roger Phu Le | Urology | 13111 East Fwy, Ste 108, Houston, TX 77015-5810 | 2005-06-14 |
| 1710431457 | East Orthopedics, Pllc | Orthopaedic Surgery | 13111 East Fwy, Houston, TX 77015-5803 | 2016-08-11 |
| 1114398153 | Compass Point Emergency Physicians, Pllc | Physician Assistant | 13111 East Fwy, Houston, TX 77015-5803 | 2015-10-16 |
| 1639551963 | Jancy Cherian | Nurse Practitioner | 13111 East Fwy, Ste 303, Houston, TX 77015-5803 | 2015-06-23 |
| 1023400645 | Brandi Baez | Nurse Practitioner | 13111 East Fwy, Houston, TX 77015-5803 | 2015-02-19 |
| 1154747822 | Egret Inpatient Services, Pllc | Emergency Medicine | 13111 East Fwy, Houston, TX 77015-5803 | 2014-03-05 |
| 1487093266 | Bucking Horse Emergency Physicians, Pllc | Physician Assistant | 13111 East Fwy, Houston, TX 77015-5803 | 2013-06-14 |
| 1528390010 | Chca Bayshore, L.p. | Advanced Practice Midwife | 13111 East Fwy, Houston, TX 77015-5803 | 2010-02-08 |
| 1538498191 | Carol Ann Stephenson | Nurse Practitioner | 13111 East Fwy, Houston, TX 77015-5803 | 2009-12-10 |
| 1407183015 | Vivek Bansal | Radiology | 13111 East Fwy, Houston, TX 77015-5803 | 2009-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144701061 | Elsa Marquez | Registered Nurse | 14223 Wadebridge Way, Houston, TX 77015 | 2018-08-28 |
| 1730544065 | Fresenius Medical Care Northeast Houston, LLC | Clinic/Center | 4810 E Sam Houston Pkwy N, Houston, TX 77015 | 2015-12-31 |
| 1316338650 | Candice Rogers | Physical Therapy Assistant | 13649 East Freeway, Houston, TX 77015 | 2015-02-09 |
| 1114346301 | Michael William Chang | Dentist | 12450 East Fwy Ste 140, Houston, TX 77015 | 2014-04-15 |
| 1114344249 | Annabel Maldonado-carrizales | Occupational Therapist | 12605 East Freeway, Suite 212, Houston, TX 77015 | 2014-03-26 |
| 1720326036 | Stephanie Frances Parlangeli | Occupational Therapist | 12605 East Fwy, Houston, Suite 200, Houston, TX 77015 | 2013-01-21 |
| 1700173887 | Karen Alicia Henry | Counselor | 331 Freeport Street, Houston, TX 77015 | 2011-07-08 |
| 1619298031 | Clinic 1 Care, Inc. | General Practice | 14225 East Freeway, Houston, TX 77015 | 2010-06-21 |
| 1043536303 | Alternative Learning LLC | Residential Treatment Facility, Physical Disabilities | 13214 Myrna Lane, Houston, TX 77015 | 2010-04-12 |
| 1205015237 | Open Hearts Home Health Care | Home Health | 14115 Woodwolf Ct, Houston, TX 77015 | 2007-10-26 |
| Find all providers in zip 77015 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| 1306453659 | Christine Michelle Serewis - Pond | Physician Assistant | 950 Threadneedle St # 282, Houston, TX 77079-2925 | 2020-09-29 |
| 1902412828 | Chen-ho Yang | Physician Assistant | 1818 Memorial Dr Ste 200, Houston, TX 77007-8383 | 2020-09-16 |
| 1437769833 | Aviva Tziporah Rogozen | Physician Assistant | 4550 N Braeswood Blvd Apt 331, Houston, TX 77096-2883 | 2020-07-31 |
| 1417575671 | Harmeet Kaur | Physician Assistant | 9601 Jones Rd Ste 238, Houston, TX 77065-4774 | 2020-07-13 |
| 1780201939 | Evelyn Oliva | Physician Assistant | 4943 Brenner St, Houston, TX 77022-2536 | 2020-07-02 |
| 1093330722 | Stephanie Kochuparambil | Physician Assistant | 2630 Bissonnet St Apt 5213, Houston, TX 77005-1571 | 2020-06-09 |
| 1376171587 | Samad Syed Ali | Physician Assistant | 12702 Morning Glory Meadow Ln, Houston, TX 77089-1551 | 2020-04-01 |
| 1235765660 | Samantha Salcedo | Physician Assistant | 6651 Main St Ste 1420, Houston, TX 77030-2351 | 2020-03-17 |
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| 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.