KRISTEN ANN WALLS (NPI# 1609313139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609313139 |
| Entity Type | Individual |
| Full Name | KRISTEN ANN WALLS |
| Other Name | KRISTEN ANN VENHUIZEN |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
4001 W 15th St Ste 100 Plano TX 75093-5837 |
| Mailing Address |
Po Box 3409 Pflugerville TX 78691-3409 |
| Practice Telephone | 2144737671 |
| Practice Fax Number | 2144737680 |
| Mailing Telephone | 5122023830 |
| Mailing Fax Number | 5123541106 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA11087 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 387287101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386791036 | Kristen Ann Walls | Registered Nurse | 16 W Charlotte Ave, 1, Cincinnati, OH 45215-2013 | 2007-01-04 |
| 1831267046 | Kristen Marie-parys Walls | Chiropractor | 51633 Us Highway 69 N, Bullard, TX 75757-5546 | 2006-12-04 |
| 1427497627 | Kristen Nicole Walls | Occupational Therapist | 190 W South St, Hernando, MS 38632-2245 | 2013-06-20 |
| 1437475928 | Kristen S Walls | Physician Assistant | 55 Lake Ave N, Department of Critical Care, Worcester, MA 01655-0002 | 2010-04-09 |
| Street Address |
4001 W 15TH ST STE 100 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472697 | Amna Dhanani | Physician Assistant | 2100 Hedgcoxe Rd Ste 140, Plano, TX 75025-3100 | 2020-09-23 |
| 1538717582 | Jenna Kelly | Physician Assistant | 3408 Walington Dr, Plano, TX 75093-7447 | 2019-09-03 |
| 1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
| 1275199002 | The Kim Tran | Physician Assistant | 6130 W Parker Rd Ste 103, Plano, TX 75093-7910 | 2019-05-16 |
| 1619433315 | Jennifer Perez | Physician Assistant | 1700 Alma Dr Ste 450, Plano, TX 75075-6986 | 2019-02-18 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1821567678 | Collaborative Surgical Services, Pllc | Physician Assistant | 2024 W 15th St Ste F #328, Plano, TX 75075-7364 | 2018-11-21 |
| 1528540366 | Christen Leah Reamy | Physician Assistant | 3809 W 15th St Ste A, Plano, TX 75075-7765 | 2018-08-29 |
| 1568965051 | Vital Assistance, Pllc | Physician Assistant | 2024 W 15th St Ste F # 327, Plano, TX 75075-7364 | 2018-03-12 |
| 1558729251 | Samantha Jo Adcock Palomares | Physician Assistant | 1100 Allied Dr Ste 2-862, Plano, TX 75093-5348 | 2016-02-09 |
| Find all providers in PLANO | ||||
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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.