MS. TATYANA GUSTAFSON RN CNS FPMHNP NPI 1225365943

NPI Information

  • NPI: 1225365943
  • Provider Name: MS. TATYANA GUSTAFSON, RN, CNS, FPMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5424 W HIGHWAY 290 STE 108
    AUSTIN, TX
    ZIP 78735
  • Phone: (512) 430-1130

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NPI Details

MS. Tatyana Gustafson, RN, CNS, FPMHNP is a psychiatric/mental health nurse practitioner in Austin, TX with 13 years of experience. MS. Tatyana Gustafson, RN, CNS, FPMHNP NPI is 1225365943. 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:

5424 W HIGHWAY 290 STE 108
AUSTIN, TX
ZIP 78735-827
Phone: (512) 430-1130
Fax: (512) 677-6806

The NPI 1225365943 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2009 and was last updated on 7/21/2022.

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
1364SA2200XClinical Nurse SpecialistAdult Health710364TEXASNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health710364TEXASYes

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: 3/30/2025

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