ANDREW JOSEPH KIENSTRA


Address: 4900 Mueller Blvd, Austin, TX 78723-2303
Phone: 5123240000

ANDREW JOSEPH KIENSTRA (NPI# 1144300419) 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) 1144300419
Entity Type Individual
Full Name ANDREW JOSEPH KIENSTRA
Credential MD
Practice Address 4900 Mueller Blvd
Austin
TX 78723-2303
Mailing Address 4209 Ravine Ridge Trl
Austin
TX 78746-1285
Practice Telephone 5123240000
Practice Fax Number 5123807551
Mailing Telephone 8322363171
Enumeration Date 2006-10-17
Last Update Date 2011-12-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0204X Pediatrics
Specialization: Pediatric Emergency Medicine
L1093 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 047555001 05

Office Location

Street Address 4900 MUELLER BLVD
City AUSTIN
State TX
Zip Code 78723-2303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932102175 Cathleen M. Havemann Pediatrics 4900 Mueller Blvd, Austin, TX 78723-3079 2005-05-23
1235744418 Ana F. El Behadli Gonzalez Psychologist 4900 Mueller Blvd, Austin, TX 78723-3079 2020-09-14
1205449469 Audrey Cortesi Psychologist 4900 Mueller Blvd, Austin, TX 78723-3079 2020-08-27
1134746902 Catherine Dusing Student in an Organized Health Care Education/Training Program 4900 Mueller Blvd, Austin, TX 78723-3079 2020-06-28
1003433863 Kaitlyn Mosher Student in an Organized Health Care Education/Training Program 4900 Mueller Blvd, Austin, TX 78723-3079 2020-06-28
1558980656 Devika Pillay Pediatrics 4900 Mueller Blvd, Austin, TX 78723-3079 2020-04-09
1801429550 Ashley Griffin Nurse Practitioner 4900 Mueller Blvd, Austin, TX 78723-3079 2020-02-20
1770123093 Anika Lockhart Nurse Practitioner 4900 Mueller Blvd, Austin, TX 78723-3079 2020-01-14
1417594102 Rebecca J Blackwell Nurse Practitioner 4900 Mueller Blvd, Austin, TX 78723-3079 2019-12-02
1861037038 Rachel Annette Cano Brendlinger Nurse Practitioner 4900 Mueller Blvd, Austin, TX 78723-3079 2019-11-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144787318 Bridget Wilson Counselor 6448 East Hwy 290, Suite F108, Austin, TX 78723 2019-02-25
1700378999 Andrew Christopher Shanks Counselor 2132 Antone St, Austin, TX 78723 2018-06-04
1316434236 Yasaman Ahmadieh Pediatrics 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 2018-04-16
1215433354 Erika Senai Ramirez Nurse Practitioner 6900 Ed Bluestein Blvd, Austin, TX 78723 2018-04-05
1518477645 Brigitte Tyree Registered Nurse 2237 Zach Scott St, Austin, TX 78723 2017-10-03
1942735980 Ila Sehgal Pediatrics 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 2017-04-27
1851825194 Terry Blackmon Behavioral Analyst 2021 Zach Scott St, Austin, TX 78723 2017-04-13
1114337961 Cassandra Sorensen Home Health 3001 Maplelawn Circle, Austin, TX 78723 2014-05-02
1336569052 Ricky C Mehta Internal Medicine 6210 E Hwy 290 Ste 420, Austin, TX 78723 2014-04-21
1356761373 Peter Caldwell Gilbreath Pediatrics 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 2014-04-17
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Taxonomy Information

Taxonomy Code 2080P0204X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Emergency Medicine

Taxonomy Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538502851 Nidhi Singh Pediatrics 4900 Mueller Blvd, Austin, TX 78723-3079 2013-04-17
1083957427 Megan Mcclung Pediatrics 4900 Mueller Blvd, Dept of Pediatric Emergency Medicine, Austin, TX 78723 2013-04-04
1952694556 Catherine Elaine Yee Pediatrics 4900 Mueller Blvd, Suite 3e.003, Austin, TX 78723-3079 2011-05-16
1184815227 Pediatric Surgical Subspecialists Pediatrics 1301 Barbara Jordan Blvd Ste 307, Austin, TX 78723-3080 2007-08-05
1932137965 Winnie T Whitaker Pediatrics 6300 La Calma Dr Ste 200, Austin, TX 78752-3825 2006-06-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285017343 Leilani So Wiltz Pediatrics 3 Abbotsford Court, Dallas, TX 75225 2015-07-07
1598183840 Brian Lonquich Pediatrics 2450 Holcombe Blvd Ste Nb-34l, Houston, TX 77021-2039 2014-04-03
1134278476 Carla Magnolia Laos Pediatrics 6621 Fannin St Ste A.210, Texas Children's Hospital Bcm C/o Peggy Womack, Houston, TX 77030-2303 2007-01-09
1679653919 Mark Ward Pediatrics 6621 Fannin St, Mc A1170, Houston, TX 77030-2303 2006-10-17
1124631437 Kids Care Pllc Pediatrics 500 E Houston St, Beeville, TX 78102-4941 2020-08-26
1679935613 Alecia Borkovich Pediatrics 6701 Fannin St, Houston, TX 77030-2608 2016-03-28
1164819975 Shelease O'bryant Pediatrics 6621 Fannin St, Houston, TX 77030-2358 2015-04-20
1972997500 Alexander Henri Pediatrics 315 N San Saba Ste 1135, San Antonio, TX 78207 2015-03-20
1831506757 Sheetal Khiyani Pediatrics 333 N Santa Rosa St, San Antonio, TX 78207-3108 2014-07-14
1386059087 Asha Tharayil Pediatrics 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-4637 2014-06-23
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Competitor

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City AUSTIN
Zip Code 78723

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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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