Kristin Shea Fitzgerald-Gutweiler, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05926 Issued in TX

Practice address

1805 Wichita St
Houston, TX 77004-5952

Phone

(832) 930-1078

Fax

(936) 244-4584

NPI assigned

Nov 3, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: kgutweiler702623@memorialhermann.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Noble Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1619259553
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1154574275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 WICHITA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045952",
            "telephone_number": "832-930-1078",
            "fax_number": "936-244-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 WICHITA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045952",
            "telephone_number": "832-930-1078",
            "fax_number": "936-244-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD-GUTWEILER",
        "first_name": "KRISTIN",
        "middle_name": "SHEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana L Fite, M.D.
• Kyara Fite
• James Fitko, MD
• Fitlife Healthcare LLC
• Sandra W Fitts, LPC
• Carolyn Fitzgerald, LPC
• Cole Andrew Fitzgerald, M.D.
• Daniela Fitzgerald, M.S., CCC-SLP
• Jennifer Diane Fitzgerald, NP-C
• Lauren Fitzgerald, CRNA

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.