Active NPI
Kimberly Fuentes, CST
- Surgical Physician Assistant
- Webster, TX
National Provider Identifier
1285869479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- DEGREE
- Practice address
- 520 Blossom
Webster, TX 77598 - Phone
- (281) 332-9537
- Fax
- (281) 332-1560
- NPI assigned
- May 18, 2009
- Last updated
- May 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | DEGREE | TX | Primary |
Addresses
Primary practice location
520 Blossom
Webster, TX 77598
Mailing address
7401 S. Main
Houston, TX 77030
Phone (713) 799-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEGREE | TX | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1285869479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 S. MAIN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-799-2300",
"fax_number": "713-794-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 BLOSSOM",
"city": "WEBSTER",
"state": "TX",
"postal_code": "77598",
"telephone_number": "281-332-9537",
"fax_number": "281-332-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "KIMBERLY",
"credential": "CST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "DEGREE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, TX
- Kenise Franklin
- Colleen Leonard Franks, MSN, FNP-BC
- Freda J. Bowman, M.D, P.a.
- Kaeli Freeborough, DO
- Frontier Infusion Center CL PLLC (Frontier Infusion Center)
- Stephanie Diana Fuentes, PHARMD
- John William Fulkman III, D.C.
- Sarah Furlow, PTA
- G a Samman MD PA
- G. Samman, MD PA (Clear Lake Cardiovascular Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.