KRISTEN MAHURIN (NPI# 1730434168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730434168 |
| Entity Type | Individual |
| Full Name | KRISTEN MAHURIN |
| Other Name | KRISTEN HUBBARD |
| Credential | FNP |
| Practice Address |
323 E Hawkins Pkwy Longview TX 75605-7905 |
| Mailing Address |
Po Box 4207 Longview TX 75606-4207 |
| Practice Telephone | 9035446780 |
| Practice Fax Number | 9035446799 |
| Mailing Telephone | 9033154119 |
| Mailing Fax Number | 9033154130 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2015-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP122540 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
323 E HAWKINS PKWY |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-7905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515169 | Christina Ann Tinkler | Physician Assistant | 323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905 | 2005-06-02 |
| 1134744410 | Sara Elizabeth Hale | Nurse Practitioner | 323 E Hawkins Pkwy, Longview, TX 75605-8153 | 2020-06-11 |
| 1174878540 | Candice Dean | Internal Medicine | 323 E Hawkins Pkwy, Longview, TX 75605-7905 | 2012-07-20 |
| 1043472350 | Kraig A. Dekoker | Physician Assistant | 323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905 | 2008-06-27 |
| 1043329212 | David Edward Stanley | Physician Assistant | 323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905 | 2006-08-30 |
| 1568408649 | Eva Jamille Pierce | Physician Assistant | 323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905 | 2006-06-20 |
| 1720021280 | Diana Malone | Family Medicine | 323 E Hawkins Pkwy, Longview, TX 75605-7905 | 2006-06-13 |
| 1457303976 | Jennifer Anne Benedict | Nurse Practitioner | 323 E Hawkins Pkwy, Longview, TX 75605-7905 | 2006-05-16 |
| 1285630558 | Rekha Reddy | Internal Medicine | 323 E Hawkins Pkwy, Longview, TX 75605-7905 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920247 | Lisa Kalynn Sanders | Nurse Practitioner | 2128 Page Creek Trl, Longview, TX 75601-0007 | 2020-10-20 |
| 1265030993 | Sarah Dawson | Nurse Practitioner | 2040 Eden Dr, Longview, TX 75601-3415 | 2020-10-14 |
| 1104455716 | Carol Henry | Nurse Practitioner | 287 E Cliffwood St, Longview, TX 75603-7556 | 2020-04-06 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1649821901 | Heather M Wilson | Nurse Practitioner | 2828 Bill Owens Pkwy Ste B, Longview, TX 75605-2102 | 2019-09-26 |
| 1942777826 | Cami Jo Tice-harouff | Nurse Practitioner | 16 Ramblewood Dr, Longview, TX 75605-3351 | 2018-10-29 |
| 1346778685 | Kyle Patrick Urbanek | Nurse Practitioner | 705 E Marshall Ave Ste 5000, Longview, TX 75601-5660 | 2017-05-31 |
| 1417481623 | Cody Castle | Nurse Practitioner | 1103 Eden Dr, Longview, TX 75605-3114 | 2017-04-13 |
| 1134570856 | Virginia Hardaway | Nurse Practitioner | 2953 Country Club Rd W, Longview, TX 75602-6861 | 2016-06-23 |
| 1275994824 | Alto Behavioral Health Services Pllc | Nurse Practitioner | 827 Lansing Switch Rd, Longview, TX 75602-7102 | 2016-03-10 |
| Find all providers in LONGVIEW | ||||
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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.