FRISTANTO KURNIAWAN (NPI# 1821600487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821600487 |
| Entity Type | Individual |
| Full Name | FRISTANTO KURNIAWAN |
| Credential | MSN, RN, AGACNP-BC |
| Practice Address |
9250 Pinecroft Dr Shenandoah TX 77380-3218 |
| Mailing Address |
1111 Medical Plaza Dr Ste 250 The Woodlands TX 77380-3477 |
| Practice Telephone | 7138972300 |
| Mailing Telephone | 2812968788 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1006744 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17200 St Lukes Way, The Woodlands, TX 773848007 | 9362882000 | |
| 17201 I 45 S, Shenandoah, TX 773853311 | 9362702000 |
| Street Address |
9250 PINECROFT DR |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77380-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595481 | Jamie A Hunter | Registered Nurse | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2020-10-15 |
| 1811508963 | Spicelyn A Cross | Nurse Practitioner | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2020-08-12 |
| 1013526904 | Rachel Marie Cameron | Registered Nurse | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2020-07-27 |
| 1679182653 | Lindsay Paige Boyer | Registered Nurse | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2020-07-27 |
| 1225669971 | Lori Weber | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2020-01-31 | |
| 1588202170 | Megan Blair Jennings | Nurse Practitioner | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2019-12-15 |
| 1114560075 | Kimberlee Erin Spurlin | Nurse Practitioner | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2019-10-23 |
| 1073154779 | Wilma Juliana Barboza | Nurse Practitioner | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2019-10-03 |
| 1114583978 | Pauline Omwenga Mwebi | Nurse Practitioner | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2019-05-16 |
| 1669934329 | Michelle Loren Matthews | Nurse Practitioner | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874034 | Elevated Neuro LLC | Specialist/Technologist, Other | 719 Sawdust Rd Ste 213, The Woodlands, TX 77380 | 2019-01-10 |
| 1588139851 | Sara Barchie | Dietitian, Registered | 26113 Oak Ridge Drive, Suite A, The Woodlands, TX 77380 | 2018-10-12 |
| 1730664988 | Global Bionics, LLC | Durable Medical Equipment & Medical Supplies | 1001 Medical Loop, Ste 220, Spring, TX 77380 | 2018-10-03 |
| 1104309350 | Kristina Nicole Zills | Psychologist | 26205 Oak Ridge Dr. Suite 103, The Woodlands, TX 77380 | 2018-09-13 |
| 1972094365 | Southern Texas Allergy The Woodlands | Allergy & Immunology | 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 | 2018-05-22 |
| 1609373992 | Joy Adaku Ekwueme | Nurse Practitioner | Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 | 2018-04-12 |
| 1821517103 | Catalyst Medical Suites, LLC | Clinic/Center | 1544 Sawdust Rd Ste 280, Spring, TX 77380 | 2017-09-18 |
| 1114440898 | Elanor Sung | Massage Therapist | 26103 I 45, Ste 102, The Woodlands, TX 77380 | 2017-07-25 |
| 1043732555 | Chinyere Obiakwata | Nurse Practitioner | 201 Pruitt Rd Apt 430, Spring, TX 77380 | 2017-07-17 |
| 1295261055 | Nafeiza Persaud | Counselor | 25301 Borough Park Dr Ste 125, Spring, TX 77380 | 2017-05-11 |
| Find all providers in zip 77380 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508963 | Spicelyn A Cross | Nurse Practitioner | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2020-08-12 |
| 1780213983 | Onome Edokun | Nurse Practitioner | 123 Vision Park Blvd, Shenandoah, TX 77384-3001 | 2020-04-08 |
| 1447881552 | Kimberly Ann Quinn | Nurse Practitioner | 17201 I H 45 S, Shenandoah, TX 77385-3311 | 2020-01-28 |
| 1588202170 | Megan Blair Jennings | Nurse Practitioner | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2019-12-15 |
| 1114560075 | Kimberlee Erin Spurlin | Nurse Practitioner | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2019-10-23 |
| 1073154779 | Wilma Juliana Barboza | Nurse Practitioner | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2019-10-03 |
| 1114583978 | Pauline Omwenga Mwebi | Nurse Practitioner | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2019-05-16 |
| 1417418146 | Rhona Earley | Nurse Practitioner | 17201 I 45 S, Shenandoah, TX 77385-3311 | 2019-03-26 |
| 1861959132 | Sarah Aileene Cruz | Nurse Practitioner | 17201 Interstate 45 S, Shenandoah, TX 77385-3311 | 2019-02-22 |
| 1447729389 | Lauren Johnson | Nurse Practitioner | 17201 I 45 S, Shenandoah, TX 77385-3311 | 2018-11-21 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 77380 |
Please comment or provide details below to improve the information on FRISTANTO KURNIAWAN.
| 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.