MS. KRISTINA D GUTIERREZ (NPI# 1619133816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619133816 |
Entity Type | Individual |
Full Name | MS. KRISTINA D GUTIERREZ |
Credential | PNP |
Practice Address |
17600 I-45 Conroe TX 77384 |
Mailing Address |
2414 W 12th St Austin TX 78703-3813 |
Practice Telephone | 9362675000 |
Mailing Telephone | 5126380688 |
Enumeration Date | 2008-08-06 |
Last Update Date | 2019-03-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1917 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
AP121416 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TX BOARD OF NURSING LICENSE NUMBER | AP121416 | 01 |
AZ | 384825 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1301 Barbara Jordan Blvd, Suite 307, Austin, TX 787233077 | 5123240907 | 5123240642 |
Street Address |
17600 I-45 |
City | CONROE |
State | TX |
Zip Code | 77384 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
1023564325 | 1488 Family Medicine Group, Pllc | Clinic/Center | 2400 Fm 1488, Suite 400, Conroe, TX 77384 | 2016-08-28 |
1740641976 | Signature Smiles Woodlands, Pllc | Clinic/Center | 2400 Fm 1488 Suite 200, Conroe, TX 77384 | 2016-03-16 |
1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
Find all providers in zip 77384 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316000128 | Deborah Alford | Nurse Practitioner | 201 Enterprise Row Ste 12, Conroe, TX 77301-4448 | 2006-12-19 |
1184676777 | Vicki A. Woods-modeland | Nurse Practitioner | 701 E Davis St, Ste. A, Conroe, TX 77301-3018 | 2006-05-16 |
1699310367 | Erin Roberts | Nurse Practitioner | 201 Enterprise Row Ste 12, Conroe, TX 77301-4448 | 2019-11-16 |
1598138034 | Stefanie Lynne Waugh | Nurse Practitioner | 601 River Pointe Dr, Suite 120, Conroe, TX 77304-2945 | 2015-11-05 |
1790059657 | Laurie E Brown | Nurse Practitioner | 601 River Pointe Dr, Suite 150, Conroe, TX 77304-2945 | 2012-02-23 |
1578603205 | Amy Christian | Nurse Practitioner | 404 River Pointe Dr, 100, Conroe, TX 77304-2836 | 2007-02-08 |
1609935022 | Elizabeth Gaspar | Nurse Practitioner | 701 E Davis St, Ste A, Conroe, TX 77301-3099 | 2006-12-08 |
1235215039 | Keri Regina Fershtman | Nurse Practitioner | 3115 College Park Dr, Suite 104, Conroe, TX 77384-4001 | 2006-10-27 |
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 |
Find all providers with the same taxonomy |
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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.