JENNIFER LISA GUSTAFSON (NPI# 1396154985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396154985 |
Entity Type | Individual |
Full Name | JENNIFER LISA GUSTAFSON |
Credential | FNP |
Practice Address |
1600 W 38th St Suite 300 Austin TX 78731-6400 |
Mailing Address |
14705 Little Fox Trl Austin TX 78734-2368 |
Practice Telephone | 5122614800 |
Mailing Telephone | 5124221991 |
Enumeration Date | 2014-08-07 |
Last Update Date | 2014-11-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP125891 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487997664 | Jennifer K Gustafson | Obstetrics & Gynecology | 5673 Peachtree Dunwoody Rd Ste 700, Atlanta, GA 30342-1752 | 2013-04-05 |
1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
1922384940 | Jennifer Lynn Gustafson | Occupational Therapist | 3101 Less Traveled Trl, Indian Trail, NC 28079-7801 | 2011-10-24 |
1679180145 | Jennifer Renee Gustafson | Behavior Technician | 109 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-09-28 |
1013479609 | Jennifer Lynn Gustafson | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-04-02 |
1861848814 | Jennifer Gustafson | Massage Therapist | 5649 University Way Ne, Seattle, WA 98105-2619 | 2016-05-09 |
1386923175 | Jennifer Christine Gustafson | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2011-08-10 |
1639475254 | Jennifer Lee Gustafson | Nurse Practitioner | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2011-01-28 |
1801037601 | Jennifer Lynd Mosey Gustafson | Marriage & Family Therapist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2009-03-09 |
1578717112 | Jennifer Gustafson | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2008-11-10 |
Street Address |
1600 W 38TH ST SUITE 300 |
City | AUSTIN |
State | TX |
Zip Code | 78731-6400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720087331 | Kristen Katherine Ude | Chiropractor | 1600 W 38th St, Suite 412, Austin, TX 78731-6400 | 2005-07-15 |
1700344264 | Jane Comer Crockard | Physician Assistant | 1600 W 38th St, Austin, TX 78731-6400 | 2019-03-04 |
1114408242 | Excelsior Pain Management Pllc | Anesthesiology | 1600 W 38th St, Austin, TX 78731 | 2018-08-27 |
1396224549 | Kelly Skiles | Physician Assistant | 1600 W 38th St, Austin, TX 78731-6400 | 2018-08-08 |
1316487911 | Andrew Collentro | Physical Therapist | 1600 W 38th St, Ste 201, Austin, TX 78731-6400 | 2017-03-01 |
1225576093 | Kathy Chung Marquez | Physician Assistant | 1600 W 38th St, Suite 200, Austin, TX 78731-6400 | 2017-02-01 |
1962948158 | Thomajan Foot Care Pa | Podiatrist | 1600 W 38th St, Suite 318, Austin, TX 78731-6400 | 2017-01-11 |
1124563754 | Austin Psychiatric Clinic, Pa | Psychiatry & Neurology | 1600 W 38th St, Suite 421, Austin, TX 78731-6400 | 2017-01-06 |
1942757240 | U S Anesthesia Partners of Texas | Anesthesiology | 1600 W 38th St, Suite 306, Austin, TX 78731-6400 | 2016-09-02 |
1356707608 | Amber Bullis | Massage Therapist | 1600 W 38th St, Suite 120, Austin, TX 78731-6400 | 2015-12-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
Find all providers in zip 78731 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616992 | Nancy Toll | Nurse Practitioner | 8600 N Fm 620 Rd Apt 936, Austin, TX 78726-3535 | 2020-10-13 |
1003413055 | Anthony Delovino Lista | Nurse Practitioner | 311 Bowie St Apt 1215, Austin, TX 78703-5296 | 2020-10-02 |
1366049553 | Lauren Nicole Crider | Nurse Practitioner | 3601 S Congress Ave Ste D100, Austin, TX 78704-7205 | 2020-10-01 |
1366059784 | Teresa Marie Reed | Nurse Practitioner | 3921 Steck Ave Ste A120, Austin, TX 78759-8669 | 2020-09-29 |
1144836289 | Amy Silva | Nurse Practitioner | 1824 Rainy Meadows Dr, Austin, TX 78758-3518 | 2020-09-22 |
1326652470 | Carolyn Lee Stanford | Nurse Practitioner | 14902 Crosscreek, Austin, TX 78737-8904 | 2020-09-06 |
1457965899 | Lorie Kmetz | Nurse Practitioner | 1907 Alguno Rd, Austin, TX 78757-3220 | 2020-09-02 |
1184238735 | Amanda Kanski | Nurse Practitioner | 9525 N Capital of Texas Hwy Unit 416, Austin, TX 78759-7294 | 2020-09-01 |
1487265013 | Lisa Karen Brogan | Nurse Practitioner | 1805 Forest Hill Dr, Austin, TX 78745-1720 | 2020-08-17 |
1992316327 | Mona Saberi | Nurse Practitioner | 15024 Calaveras Dr, Austin, TX 78717-4577 | 2020-08-10 |
Find all providers in AUSTIN |
Please comment or provide details below to improve the information on JENNIFER LISA 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.