KERI LOUISE STURDEVANT (NPI# 1295094035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295094035 |
| Entity Type | Individual |
| Full Name | KERI LOUISE STURDEVANT |
| Credential | PA |
| Practice Address |
3533 S Alameda St Corpus Christi TX 78411-1721 |
| Mailing Address |
16130 Pionciana St Corpus Christi TX 78418-6508 |
| Practice Telephone | 3616945000 |
| Practice Fax Number | 3616945317 |
| Mailing Telephone | 8103574159 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA09689 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 5601006420 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NATIONAL PROVIDER IDENTIFICATION NUMBER | 1295094035 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 411 W Lake Lansing Rd, Suite C 120, East Lansing, MI 488238445 | 5173370957 | |
| 600 Elizabeth St, Corpus Christi, TX 784042235 | 3618813000 | 3618813149 |
| Street Address |
3533 S ALAMEDA ST |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78411-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363671 | Meera Gangadharan | Anesthesiology | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2005-06-01 |
| 1629684816 | Guyu Li | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-09-22 |
| 1972113579 | Kenechukwu Okechukwu Aronu | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-08-07 |
| 1053939488 | Obinna Chijindu Ubah | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-07-13 |
| 1952929861 | Jordi Friese | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-07-07 |
| 1053936971 | Alliskair Anibal Ortiz | Clinic/Center | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-06-16 |
| 1811512767 | Maria Alejandra Castillo Sanchez | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-06-16 |
| 1609490630 | Kassandra Madore | Audiologist | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-06-05 |
| 1982228607 | Vera Whole Health Wa, PC | Clinic/Center | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-05-29 |
| 1811510563 | Jeffrey Joon Taek Lee | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
| 1669952313 | Maranda Deleon | Physical Therapy Assistant | 4406 Stonegate Way, Corpus Christi, TX 78411 | 2018-08-21 |
| 1730675257 | Cns Diagnostics Incorporated | Specialist/Technologist, Other | 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 | 2018-07-09 |
| 1750828257 | Kerr Technical Services, LLC | Technician | 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 | 2017-01-23 |
| 1700337862 | Rebekah Welty | Audiologist | 3533 Alameda St, Corpus Christi, TX 78411 | 2016-10-24 |
| 1518330059 | Lilo Burda | Counselor | 321 Texan Trl Ste 220, Corpus Christi, TX 78411 | 2015-11-05 |
| 1730557182 | Amy Luu Q.a. Mai | Optometrist | 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 | 2015-09-02 |
| 1487030417 | Luis Fuentes IIi | General Practice | 4818 Holly Rd Ste A, Corpus Christi, TX 78411 | 2015-07-31 |
| 1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
| 1306224605 | Bonnie Lee Braglia Lpc-s,lmft,ccdvc | Community/Behavioral Health | 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 | 2015-05-07 |
| Find all providers in zip 78411 | ||||
| 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 |
|---|---|---|---|---|
| 1922629104 | Alejandro Castro Jr. | Physician Assistant | 6122 Kostoryz Rd, Corpus Christi, TX 78415-2440 | 2020-04-29 |
| 1518471564 | Astute Assistants, Pllc | Physician Assistant | 2732 S Padre Island Dr # 211, Corpus Christi, TX 78415-1808 | 2017-11-29 |
| 1467996785 | Marc Stearman | Physician Assistant | 15325 Bonasse Ct, #g, Corpus Christi, TX 78418-6977 | 2016-12-05 |
| 1982977088 | Cesar Omar Munoz | Physician Assistant | 613 Elizabeth St Ste 804, Corpus Christi, TX 78404-2231 | 2012-02-21 |
| 1396986360 | Traci Harp Ellison | Physician Assistant | 1201 Leopard St Fl 6, Corpus Christi, TX 78401-2120 | 2009-03-20 |
| 1528223658 | Kimberly A Petrila | Physician Assistant | 5920 Saratoga Blvd Ste 600a, Corpus Christi, TX 78414-4119 | 2008-07-29 |
| 1194904789 | Suzanne White | Physician Assistant | 6014 Strasbourg Dr, Corpus Christi, TX 78414-6254 | 2007-10-30 |
| 1871648253 | James Richard Jackson | Physician Assistant | 3403 S Padre Island Dr Ste 301, Corpus Christi, TX 78415-2925 | 2007-01-24 |
| 1881782860 | Suzan Renee Salter | Physician Assistant | 7121 S. Padre Island Dr Ste 300, Thomas Span Clinic, Corpus Christi, TX 78912 | 2006-10-11 |
| 1205898053 | Kristi Thulin | Physician Assistant | 5734 Spohn Dr, Corpus Christi, TX 78414-4116 | 2006-04-06 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78411 |
Please comment or provide details below to improve the information on KERI LOUISE STURDEVANT.
| 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.