Individual provider Active NPI

Cristen Sutton, APRN

  • Women's Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1356018923
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1049022 Issued in TX
Practice address
8160 Walnut Hill LN Ste 220
Dallas, TX 75231-4354
Phone
(214) 750-0980
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 666334 TX
Women's Health Nurse Practitioner 363LW0102X 1049022 TX Primary

Addresses

Primary practice location

8160 Walnut Hill LN Ste 220
Dallas, TX 75231-4354

Mailing address

2820 Forest Grove Dr
Richardson, TX 75080-1856
Phone (972) 979-3119

Other names 1

  • Cristi Marie Coburn Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL AthenaHealth Ted E. Fogwell, M.D., P.A.

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
666334TXMDAmbulatory Women's Health Care Registered Nurse
1049022TXMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: cristi.sutton.1@8042.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1356018923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 FOREST GROVE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801856",
            "telephone_number": "972-979-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314354",
            "telephone_number": "214-750-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "CRISTEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "TX",
            "license": "666334",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1049022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AthenaHealth",
            "affiliation": "Y",
            "affiliationName": "Ted E. Fogwell, M.D., P.A.",
            "address_1": "8160 Walnut Hill Ln Ste 220",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752314354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CRISTI",
            "last_name": "COBURN",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.