KRISTIN FULLEN (NPI# 1134531122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134531122 |
| Entity Type | Individual |
| Full Name | KRISTIN FULLEN |
| Practice Address |
777 S Fry Rd Katy TX 77450-2244 |
| Mailing Address |
19807 Norfolk Ridge Way Richmond TX 77407-7126 |
| Practice Telephone | 2814927676 |
| Mailing Telephone | 2817347005 |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
670351 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
777 S FRY RD |
| City | KATY |
| State | TX |
| Zip Code | 77450-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920808 | Denise Lynn Smith | Chiropractor | 777 S Fry Rd, Suite 101, Katy, TX 77450-2297 | 2005-05-27 |
| 1013465723 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd, Suite 208, Katy, TX 77450-2244 | 2016-09-12 |
| 1811238454 | Houston Gastro Institute Pllc | Internal Medicine | 777 S Fry Rd, 206, Katy, TX 77450-2244 | 2013-03-06 |
| 1407105190 | Brian S. Stanton | Chiropractor | 777 S Fry Rd, Suite 206, Katy, TX 77450-2244 | 2012-09-10 |
| 1093093833 | Lesley Joy Davis | Pediatrics | 777 S Fry Rd, Suite 207, Katy, TX 77450-2244 | 2011-07-27 |
| 1487961686 | Katy Chiropractic Associates, Inc. | Chiropractor | 777 S Fry Rd, Suite 101, Katy, TX 77450-2297 | 2010-09-09 |
| 1174762561 | Wellness Associates of Katy, LLC | Clinic/Center | 777 S Fry Rd, Suite 105, Katy, TX 77450-2244 | 2009-02-09 |
| 1609057751 | Bethany Elise Powell | Family Medicine | 777 S Fry Rd, Ste. 105, Katy, TX 77450-2244 | 2007-11-16 |
| 1568681443 | Geoff A Zimmerman, Md, Pa | Obstetrics & Gynecology | 777 S Fry Rd, Suite 103, Katy, TX 77450-2244 | 2007-04-25 |
| 1326191081 | Vivian Abenaa Asamoah | Internal Medicine | 777 S Fry Rd, Katy, TX 77450 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295991636 | Jennifer Renee Lee | Nurse Practitioner | 705 S Fry Rd Ste 320, Katy, TX 77450-2254 | 2008-08-05 |
| 1467643007 | Heather Lea Journeycake | Nurse Practitioner | 9727 Spring Green Blvd Ste 900, Katy, TX 77494-4576 | 2007-08-08 |
| 1508031600 | Helen P Mccloy | Nurse Practitioner | 3030 S Mason Rd, Katy, TX 77450-7633 | 2008-04-29 |
| 1194941450 | Holly Bronson Black | Nurse Practitioner | 21715 Kingsland Blvd, Katy, TX 77450-2543 | 2007-04-17 |
| 1053407536 | Tami Lynn Pogue | Nurse Practitioner | 705 S. Fry Rd, Suite 320, Katy, TX 77450 | 2006-10-04 |
| 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 | ||||
Please comment or provide details below to improve the information on KRISTIN FULLEN.
| 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.