KRISTA L TABLER GRESHAM NP NPI 1700243730

NPI Information

  • NPI: 1700243730
  • Provider Name: KRISTA L TABLER GRESHAM, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 E SHEPHERD AVE
    LUFKIN, TX
    ZIP 75901
  • Phone: (936) 632-2777

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NPI Details

Krista L Tabler Gresham, NP is a family nurse practitioner in Lufkin, TX with 16 years of experience. Krista L Tabler Gresham, NP NPI is 1700243730. 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:

111 E SHEPHERD AVE
LUFKIN, TX
ZIP 75901-315
Phone: (936) 632-2777
Fax: (936) 632-5819

The NPI 1700243730 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 1/21/2016 and was last updated on 8/23/2022.

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
1363LF0000XNurse PractitionerFamilyAP127019TEXASYes

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: 11/21/2025

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