KIMBERLY BRIDZEKE STATON APRN NPI 1003396391

NPI Information

NPI: 1003396391
Provider Name: KIMBERLY BRIDZEKE STATON, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1201 E 7TH ST STE 620
AUSTIN, TX
ZIP 78702
Phone: (800) 370-3651
Get Directions

Kimberly Bridzeke Staton, APRN is a psychiatric/mental health nurse practitioner in Austin, TX. Kimberly Bridzeke Staton, APRN NPI is 1003396391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1201 E 7TH ST STE 620
AUSTIN, TX
ZIP 78702-222
Phone: (800) 370-3651
Fax: (877) 515-7147

The NPI 1003396391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2018 and was last updated on 8/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP138337	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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