KRISTIN FULLEN - NPI 1134531122 - Nurse Practitioner in Houston, TX

Q: What is Kristin Fullen's NPI number?

The NPI number for Kristin Fullen is 1134531122. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Q: What is Kristin Fullen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Fullen was last updated on November 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kristin Fullen NPPES

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

KRISTIN FULLEN (NPI 1134531122) is an individual pediatrics provider in Houston, Texas, licensed in Texas (670351) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1134531122

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKRISTIN FULLEN

Location Address2051 GREENHOUSE RD STE 120Houston, TX 77084-7305

Mailing Address2051 Greenhouse Rd Ste 120Houston, TX 77084-7305 · (281) 492-7676 · Fax (281) 492-8133

Phone(281) 492-7676

Fax(281) 492-8133

Sole ProprietorNo

Enumeration DateMay 23, 2014

Last NPPES UpdateNovember 22, 2024

NPPES CertifiedNovember 22, 2024

✔ NPI 1134531122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · 670351

Also ListedPediatricsTaxonomy 208000000X · License 670351 (TX)

2051 GREENHOUSE RD STE 120, Houston, TX 77084

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATY PEDIATRIC ASSOCIATES

Pediatrics