Active NPI
Kristi Ann Stafford MD PA
- Family Medicine Physician
- Fredericksburg, TX
National Provider Identifier
1417134891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- KRISTI ANN STAFFORD MD PA
- Practice address
- 200 W Windcrest St
Fredericksburg, TX 78624-4408 - Phone
- (830) 997-0330
- NPI assigned
- Jan 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristi Stafford, MD
- Title
- President
- Phone
- (830) 997-0330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
200 W Windcrest St
Fredericksburg, TX 78624-4408
Mailing address
200 W Windcrest St
Fredericksburg, TX 78624-4408
Phone (830) 997-0330
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Fredericksburg, TX
- NPI 1962497610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1417134891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W WINDCREST ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244408",
"telephone_number": "830-997-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W WINDCREST ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244408",
"telephone_number": "830-997-0330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTI ANN STAFFORD MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-28",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "STAFFORD",
"authorized_official_first_name": "KRISTI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "830-997-0330",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.