KIMBERLY DE STEFANO (NPI# 1568487825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568487825 |
| Entity Type | Individual |
| Full Name | KIMBERLY DE STEFANO |
| Credential | MD |
| Practice Address |
12200 Renfert Way Suite G-3 Austin TX 78758-5614 |
| Mailing Address |
12200 Renfert Way Ste G-3 Austin TX 78758-5654 |
| Practice Telephone | 5128212540 |
| Practice Fax Number | 5129733533 |
| Mailing Telephone | 5128212540 |
| Mailing Fax Number | 5129733533 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | N3614 | TX | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | ME96503 | FL | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
N3614 | TX | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
ME96503 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 207918801 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 56595 | 01 |
| FL | 276233400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1583 E Common St Ste 111, New Braunfels, TX 78130 | 5128212540 | 5129733533 |
| 1583 E Common St Ste 111, New Braunfels, TX 78130 | 8306292826 | 8306292841 |
| Street Address |
12200 RENFERT WAY SUITE G-3 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-5614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114376 | Screven T Edgerton | Obstetrics & Gynecology | 12200 Renfert Way, Ste 100, Austin, TX 78758-5614 | 2005-06-14 |
| 1013409978 | Madison Bailey Webb | Nurse Practitioner | 12200 Renfert Way, Austin, TX 78758-5653 | 2018-06-05 |
| 1871042887 | Shelie Moore | Nurse Practitioner | 12200 Renfert Way, Austin, TX 78758-5653 | 2016-10-03 |
| 1063869022 | Amanda Christine Halle | Obstetrics & Gynecology | 12200 Renfert Way, Ste 100, Austin, TX 78758 | 2016-05-19 |
| 1285079483 | Luis Alberto Monsivais | Obstetrics & Gynecology | 12200 Renfert Way, Austin, TX 78758-5653 | 2013-05-02 |
| 1104170901 | Aa Obgyn Pllc | Obstetrics & Gynecology | 12200 Renfert Way, Ste 100, Austin, TX 78758-5614 | 2012-10-31 |
| 1316207269 | Alyson Danelle Garcia | Obstetrics & Gynecology | 12200 Renfert Way, Austin, TX 78758-5653 | 2012-05-25 |
| 1497045561 | Jacqueline B Lockwood | Nurse Practitioner | 12200 Renfert Way, Suite 100, Austin, TX 78758-5614 | 2011-04-11 |
| 1366731770 | Javier Antonio Aguirre | Obstetrics & Gynecology | 12200 Renfert Way, Suite, Austin, TX 78758-5653 | 2011-04-06 |
| 1063718393 | Brooke Ballases Beebe | Physician Assistant | 12200 Renfert Way, Ste 100, Austin, TX 78758-5614 | 2011-02-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990261 | Melissa Ann Cassady | Obstetrics & Gynecology | 6500 N Mo Pac Expy Ste 1205, Austin, TX 78731-3282 | 2020-10-19 |
| 1134548399 | Mary Micaela Rieger | Obstetrics & Gynecology | 1313 Red River St Ste A1, Austin, TX 78701-1907 | 2014-04-15 |
| 1235306713 | Jeny Ghartey | Obstetrics & Gynecology | 1301 W 38th St Ste 315, Austin, TX 78705-1012 | 2008-05-13 |
| 1609052950 | David Lee Berry | Obstetrics & Gynecology | 6500 North Mopac Exwy, Building 1, Suite 1205, Austin, TX 78731 | 2008-01-17 |
| 1558391847 | Timothy W. Harstad | Obstetrics & Gynecology | 801 W 34th St, #100, Austin, TX 78705-1156 | 2006-07-03 |
| 1982692984 | Joy Celeste Sheppard | Obstetrics & Gynecology | 1201 W 38th St Fl 2, Austin, TX 78705-1006 | 2005-10-12 |
| 1821229568 | St. David's Specialized Women's Services, Pllc | Obstetrics & Gynecology | 12200 Renfert Way, Suite G-3, Austin, TX 78758-5614 | 2009-07-29 |
| 1538368899 | Krishna Singh | Obstetrics & Gynecology | 1313 Red River St, Suite A1, Austin, TX 78701-1943 | 2007-07-16 |
| 1922167352 | Radek K Bukowski | Obstetrics & Gynecology | 1501 Red River St, Austin, TX 78712-1845 | 2006-12-08 |
| 1699885541 | David L. Berry, M.d. Pa | Obstetrics & Gynecology | 6500 N Mopac, Building 1, Suite 1205, Austin, TX 78731-3282 | 2006-08-30 |
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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.