KIM D GUSTAFSON (NPI# 1164896056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164896056 |
| Entity Type | Individual |
| Full Name | KIM D GUSTAFSON |
| Credential | NP |
| Practice Address |
18300 Katy Fwy Suite 315 Houston TX 77094-1385 |
| Practice Telephone | 7134642100 |
| Practice Fax Number | 2813927911 |
| Mailing Telephone | 7134642100 |
| Mailing Fax Number | 2813927911 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
620019 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18300 KATY FWY SUITE 315 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77094-1385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821016 | Robert C Vanzant | Family Medicine | 18300 Katy Fwy, Suite 615, Houston, TX 77094-1385 | 2005-06-16 |
| 1154799278 | Kristin N Schmidt Md Pllc | Obstetrics & Gynecology | 18300 Katy Fwy, Suite 315, Houston, TX 77094-1385 | 2015-09-05 |
| 1629366075 | Lee Kendall Edwards | Family Medicine | 18300 Katy Fwy, Suite 615, Houston, TX 77094-1385 | 2011-07-19 |
| 1689991408 | Wesley Ekeruo | Urology | 18300 Katy Fwy, Suite 325, Houston, TX 77094-1385 | 2010-05-04 |
| 1255571162 | Jennifer E Cu | Physician Assistant | 18300 Katy Fwy, Suite 615, Houston, TX 77094-1385 | 2009-03-05 |
| 1134367220 | Nicolas M. Nammour, M.d. P.a. | Psychiatry & Neurology | 18300 Katy Fwy, Suite 405, Houston, TX 77094-1114 | 2009-01-27 |
| 1528074135 | George Alexander West | Neurological Surgery | 18300 Katy Fwy, Mob 2, Suite 135, Houston, TX 77094-1385 | 2006-08-01 |
| 1962426692 | Nicolas Maher Nammour | Psychiatry & Neurology | 18300 Katy Fwy, Ste 405, Houston, TX 77094-1385 | 2006-07-26 |
| 1316919053 | Tara M Morrison | Otolaryngology | 18300 Katy Fwy, Suite 305, Houston, TX 77094-1385 | 2006-02-06 |
| 1346223856 | Tracy F Jakob | Otolaryngology | 18300 Katy Fwy, Suite 305, Houston, TX 77094-1385 | 2005-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316591886 | John Walter Warner Jr. | Physical Therapist | 18200 Katy Fwy. Wa.0540.01, Houston, TX 77094 | 2019-08-01 |
| 1104394360 | Brooklyn Bradford | Physical Therapist | 18200 Katy Freeway, Wa 130, Houston, TX 77094 | 2018-11-06 |
| 1063921641 | Michelle Gorman | Chiropractor | 18021 Kingsland Blvd Apt 8103, Houston, TX 77094 | 2017-09-26 |
| 1558749705 | Sima Momin | Internal Medicine | 18400 Katy Fwy Ste 300, Houston, TX 77094 | 2015-05-08 |
| 1659784874 | Nova Pension | Behavioral Analyst | 19030 Waterford Cv, Houston, TX 77094 | 2014-06-05 |
| 1134531361 | Lina M Ching Mdpa | Internal Medicine | 18300 Katy Freeway, Suite 275, Houston, TX 77094 | 2014-05-22 |
| 1942610068 | Nesochi Adimorah | Obstetrics & Gynecology | 18400 Katy Fwy Ste 400, Houston, TX 77094 | 2014-04-28 |
| 1174952584 | Pure Smiles | Dentist | 19235 Katy Freeway South, 300a, Houston, TX 77094 | 2013-11-06 |
| 1134439086 | Monty Arta Aghazadeh | Surgery | 18300 Katy Fwy Ste 325, Houston, TX 77094 | 2010-10-13 |
| 1386972503 | Allan Sobrevians Garcia | Pharmacist | 18400 Katy Fwy Ste 100, Houston, TX 77094 | 2009-11-29 |
| Find all providers in zip 77094 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600164 | Emily Medley | Nurse Practitioner | 2652 Westgate St, Houston, TX 77098-1412 | 2018-12-17 |
| 1760962526 | Jasmine J Sacus | Nurse Practitioner | 5800 Bellaire Blvd., Bldg. 1b, Ste. 120, Houston, TX 77081-5537 | 2018-08-20 |
| 1063892107 | Sherill D. Kennedy | Nurse Practitioner | 2617 W Holcombe Blvd, Houston, TX 77025-1757 | 2015-06-03 |
| 1700144623 | Sylvia Ann Poe-velasco | Nurse Practitioner | 6400 Fannin St Ste 1900, Houston, TX 77030-1528 | 2012-04-28 |
| 1093082158 | Rachel Alline Naegeli | Nurse Practitioner | 4600 Gulf Fwy Ste 100, Houston, TX 77023-3548 | 2011-11-17 |
| 1689963720 | Narmadha Peter | Nurse Practitioner | 807 Orchard Peak Ct, Houston, TX 77062-2167 | 2011-03-29 |
| 1356503353 | Lesley Nichole Launikitis | Nurse Practitioner | 3601 Fannin St, Houston, TX 77004-3913 | 2008-06-30 |
| 1932394541 | Sara M Dean | Nurse Practitioner | 6651 Main St Ste F420, Houston, TX 77030 | 2007-09-07 |
| 1336218981 | Rebecca Sue Runyan Dowdy | Nurse Practitioner | 15003 Fm 529 Rd, Ste A, Houston, TX 77095-4375 | 2006-11-07 |
| 1255419644 | Deallen Burse | Nurse Practitioner | 14412 Jasmine Terrace Ln, Houston, TX 77047-2979 | 2006-11-01 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on KIM D GUSTAFSON.
| 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.