KRISTEN HEATHER JARDINE (NPI# 1740514595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740514595 |
Entity Type | Individual |
Full Name | KRISTEN HEATHER JARDINE |
Credential | PA-C |
Practice Address |
275 Lantern Bend Dr Suite 200 Houston TX 77090-2840 |
Practice Telephone | 2814400101 |
Practice Fax Number | 2814401153 |
Mailing Telephone | 2814400101 |
Mailing Fax Number | 2814401153 |
Enumeration Date | 2009-09-28 |
Last Update Date | 2016-04-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA09699 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA3798 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
275 LANTERN BEND DR SUITE 200 |
City | HOUSTON |
State | TX |
Zip Code | 77090-2840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376537605 | Howard Hamat | Internal Medicine | 275 Lantern Bend Dr, Ste 200, Houston, TX 77090-2831 | 2005-09-01 |
1376790691 | Memorial Hermann Endoscopy & Surgery Center North Houston, LLC | Clinic/Center | 275 Lantern Bend Dr, Suite 400, Houston, TX 77090-2840 | 2008-08-19 |
1467617050 | Scott A Larson | Internal Medicine | 275 Lantern Bend Dr, Suite 200, Houston, TX 77090-2840 | 2008-07-23 |
1124281027 | Margaret Goode | Dietitian, Registered | 275 Lantern Bend Dr, Suite 200, Houston, TX 77090-2840 | 2008-07-10 |
1831139708 | Mario Villafani | Anesthesiology | 275 Lantern Bend Dr, Ste. 400, Houston, TX 77090-2831 | 2006-06-07 |
1871531244 | North Houston Endoscopy & Surgery | Clinic/Center | 275 Lantern Bend Dr, Ste. 400, Houston, TX 77090-2831 | 2006-06-04 |
1164469631 | Digestive & Liver Disease Consultants, P.a. | Internal Medicine | 275 Lantern Bend Dr, Ste. 200, Houston, TX 77090-2831 | 2006-06-01 |
1407845399 | Rambabu Chalasani | Internal Medicine | 275 Lantern Bend Dr, Suite 200, Houston, TX 77090-2840 | 2005-10-14 |
1427042753 | Gurunath Thota Reddy | Internal Medicine | 275 Lantern Bend Dr, Ste 200, Houston, TX 77090-2831 | 2005-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
Find all providers in zip 77090 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
1720649478 | Teresa Garcia | Physician Assistant | 12911 Hawthorne Shores Dr, Houston, TX 77044-1258 | 2019-06-24 |
1407328578 | Brenda Guzman Castillo | Physician Assistant | 3003 Navigation Boulevard, Houston, TX 77003 | 2018-12-29 |
1518442649 | Alexander De Jesus Hadded | Physician Assistant | 3651 Weslayan St Ste 106, Houston, TX 77027-6643 | 2018-09-25 |
1003395872 | Silas Steven Luna | Physician Assistant | 427 W 20th St Ste 210, Houston, TX 77008-2400 | 2018-08-12 |
1619490901 | Dona Le | Physician Assistant | 11119 Fern Terrace Dr, Houston, TX 77075 | 2017-07-19 |
1043761455 | Lorena Michelle Sumner-nassif | Physician Assistant | 9809 Rowlett Rd # A1, Houston, TX 77075-3438 | 2016-10-20 |
1851760243 | Lauren K Duerst | Physician Assistant | 6550 Fannin St Ste 1701, Houston, TX 77030-2709 | 2015-09-16 |
1982081568 | Lundy Saing | Physician Assistant | 6431 Fannin St Msb 2.130, Houston, TX 77030 | 2015-05-02 |
Find all providers in HOUSTON |
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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.