KIMBERLY BRIDZEKE STATON APRN
NPI 1003396391
Nurse Practitioner - Psychiatric/Mental Health in Austin, TX

Q: What is Kimberly Staton's NPI number?

The NPI number for Kimberly Staton is 1003396391. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Q: What is Kimberly Staton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Staton was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2018

1201 E 7TH ST STE 620, AUSTIN, TX 78702(800) 370-3651(877) 515-7147 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Bridzeke Staton Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY BRIDZEKE STATON APRN (NPI 1003396391) is an individual psychiatric/mental health provider in Austin, Texas, licensed in Texas (AP138337) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1003396391

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKIMBERLY BRIDZEKE STATONCredential: APRN

Location Address1201 E 7TH ST STE 620Austin, TX 78702-3222

Mailing Address55 Hatchetts Hill RdOld Lyme, CT 06371-1534 · (800) 370-3651 · Fax (877) 515-7147

Phone(800) 370-3651

Fax(877) 515-7147

Sole ProprietorNo

Enumeration DateAugust 16, 2018

✔ NPI 1003396391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · AP138337

1201 E 7TH ST STE 620, Austin, TX 78702

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Staton's NPI number?

The NPI number for Kimberly Staton is 1003396391. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Where is Kimberly Staton located?

Kimberly Staton practices at 1201 E 7th St Ste 620, Austin, TX 78702. The listed phone number is (800) 370-3651.

What is Kimberly Staton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kimberly Staton was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.