Kim D Gustafson, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

620019 Issued in TX

Practice address

18300 Katy Fwy
Suite 315
Houston, TX 77094-1385

Phone

(713) 464-2100

Fax

(281) 392-7911

NPI assigned

Nov 16, 2015

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

Enrolled in TX

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Advanced Women'S Wellness, PLLCGroup PAC ID 1557658887, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
• Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
• Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kimgustafson@awwp-tx.direct.office.nextgen.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.

• Advanced Women'S Wellness, PLLC

  • Obstetrics & Gynecology Physician
  • Katy, TX
  • NPI 1609018506
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1154595155

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1275568032

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Pasadena, TX
  • NPI 1437323482

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1588838593

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1639343635

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1740233782
  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Sugar Land, TX
  • NPI 1841465697

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Katy, TX
  • NPI 1932152337
  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1952575904

  Hospital

  Care Compare affiliation
• Methodist Health Centers

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1083937593
  Care Compare affiliation

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1164896056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 KATY FWY",
            "address_2": "SUITE 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941385",
            "telephone_number": "713-464-2100",
            "fax_number": "281-392-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 KATY FWY",
            "address_2": "SUITE 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941385",
            "telephone_number": "713-464-2100",
            "fax_number": "281-392-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "KIM",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "620019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edvige Jane Gusmorino Borden, CST
• Jennifer Eve Guss, MD
• Erin Gussler, MS, RDN, LD
• Theresa Gust, RD LD
• Carol Beth Gustafson, M.S., CCC-SLP
• Paul R Gustafson, M.D.
• Stephanie Fliess Gustafson, R.PH.
• Claudia Gutarra
• Donna S Guthery, LAC, CFNP
• Guthrie Enterprises, LLC

• Women's Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.