Kristin Marie Kuenstler, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08364 Issued in TX

Practice address

701 W. 5TH Street
Suite 3142
Odessa, TX 79763

Phone

(432) 703-5458

NPI assigned

Feb 20, 2014

Last updated

Apr 7, 2017By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Specialty Clinic Medical Group, PLLC

  dba Specialty Clinic of Austin

  • Psychiatry Physician
  • Austin, TX
  • NPI 1629409909
  NPD (past)

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1740605211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W. 5TH STREET",
            "address_2": "SUITE 3142",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W. 5TH STREET",
            "address_2": "SUITE 3142",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79763",
            "telephone_number": "432-703-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUENSTLER",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie L Koym, OTR
• Matthew Jakob Kozera
• Kris L Howard MD PA (West Texas Dermatology Center)
• Stephanie Alexandra Kubacak, M.D.
• Aaron Richard Kubosumi, MD
• Pamela Kuiper
• Usha R Kurra II, M.D.
• Laboratory Corporation of America
• Alim Mirza Ladha, M.D.
• Yohanny Saraith Laguna Joa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.