VIDA KELLER RISTON RN CNM PC (NPI# 1255776498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255776498 |
| Entity Type | Organization |
| Organization Name | VIDA KELLER RISTON RN CNM PC |
| Practice Address |
2929 Calder St Beaumont TX 77702-1845 |
| Mailing Address |
Po Box 12667 Beaumont TX 77726-2667 |
| Practice Telephone | 4098384472 |
| Practice Fax Number | 4098380496 |
| Mailing Telephone | 4098384472 |
| Mailing Fax Number | 4098380496 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | MS. VIDA RISTON (CEO) |
| Authorized Official Telephone | 4098384472 |
| Authorized Official Credential | FNP, CNM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367A00000X | Advanced Practice Midwife | 540793 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
540793 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2929 CALDER ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152873 | Muhammed T Aziz | Internal Medicine | 2929 Calder St, Ste 100, Beaumont, TX 77702-1841 | 2005-05-31 |
| 1316483092 | Lydia Bundick | Registered Nurse | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2017-01-18 |
| 1215389267 | Courtney Kay Wagner-bijak | Registered Nurse | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2016-07-01 |
| 1477748663 | Charles R Christy | Nurse Practitioner | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2007-09-11 |
| 1639361926 | Jeffery Blair Demuth | Counselor | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2007-08-10 |
| 1760692867 | Steven Christiansen Murdock | Counselor | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2007-05-23 |
| 1538293642 | Sherri Blackwell | Registered Nurse | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2007-03-14 |
| 1083778161 | Jacqueline Martin | Registered Nurse | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2006-12-21 |
| 1366511339 | Edward F Rod Jr, Dds, Inc. | Clinic/Center | 2929 Calder St, #302, Beaumont, TX 77702-1845 | 2006-11-06 |
| 1790892396 | Julius F Deiparine | Psychiatry & Neurology | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2006-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725718 | Wendi Ellen Ames | Nurse Practitioner | 350 Pine St Ste 755, Beaumont, TX 77701-2437 | 2020-09-18 |
| 1093340697 | Amber Tenille Goldsmith | Nurse Practitioner | 4347 Phelan Blvd, Beaumont, TX 77707-2159 | 2020-03-04 |
| 1851925267 | Trey Perkins | Nurse Practitioner | 3650 N Major Dr Ste A, Beaumont, TX 77713-9573 | 2020-02-25 |
| 1972141158 | Lisa Marie Davila | Nurse Practitioner | 14870 Michelle Ln, Beaumont, TX 77713-2308 | 2019-12-18 |
| 1467095224 | Fines Pafira Pruett | Nurse Practitioner | 35232 Hogan Dr, Beaumont, CA 92223-7407 | 2019-10-24 |
| 1952944399 | Kevin Ray Jones | Nurse Practitioner | 6040 Carrie Ln, Beaumont, TX 77713-4192 | 2019-10-17 |
| 1447891320 | Summer Mcclain | Nurse Practitioner | 740 Hospital Dr Ste 250, Beaumont, TX 77701-4666 | 2019-10-02 |
| 1114579059 | Amy Rae Hederman | Nurse Practitioner | 3070 College St Ste 100b, Beaumont, TX 77701-4652 | 2019-07-11 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1548824253 | Lisa Marie Leger | Nurse Practitioner | 3129 College St Ste 200, Beaumont, TX 77701-4682 | 2019-04-29 |
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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.