MISS KRISTA RAE NIEMEYER (NPI# 1124396833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124396833 |
| Entity Type | Individual |
| Full Name | MISS KRISTA RAE NIEMEYER |
| Credential | APN |
| Practice Address |
1400 College Dr Ste 204 Texarkana TX 75503-3575 |
| Practice Telephone | 9037911110 |
| Practice Fax Number | 9037942979 |
| Mailing Telephone | 9037911110 |
| Mailing Fax Number | 9037942979 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP122976 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1400 COLLEGE DR STE 204 |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-3575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134313802 | Valerie Ann Smith | General Practice | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2007-09-05 |
| 1821554296 | Tirsa Elaine Miller | Nurse Practitioner | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2019-02-11 |
| 1316412844 | Stephanie Ann Stewart | Nurse Practitioner | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2018-10-11 |
| 1568956456 | Andrew Lourens | Family Medicine | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2018-06-14 |
| 1538673140 | Kristine Johansson Yells | Social Worker | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2017-11-20 |
| 1598286734 | Stephanie Ford | Nurse Practitioner | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2017-06-28 |
| 1841729480 | Mikala Brooke Anderson | Pediatrics | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2017-06-07 |
| 1487072906 | Jeril Anthony Kannampuzha | Pediatrics | 1400 College Dr Ste 204, Texarkana, TX 75503 | 2014-04-01 |
| 1285060012 | Danette Allen | Social Worker | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2013-09-25 |
| 1417243700 | Kristen Lynn Coats | Registered Nurse | 1400 College Dr Ste 204, Texarkana, TX 75503 | 2011-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225681604 | Lauren N. Hadaway | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2019-07-24 |
| 1144221268 | Barbara Yowell | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
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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.