1124487046 NPI number — MRS. KATE CHRISTINE BIRKELBACH RN, MSN, CPNP

Table of content: MRS. KATE CHRISTINE BIRKELBACH RN, MSN, CPNP (NPI 1124487046)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124487046 NPI number — MRS. KATE CHRISTINE BIRKELBACH RN, MSN, CPNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIRKELBACH
Provider First Name:
KATE
Provider Middle Name:
CHRISTINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN, MSN, CPNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HEMMEN
Provider Other First Name:
KATE
Provider Other Middle Name:
CHRISTINE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1124487046
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13215 GRANT RD
Provider Second Line Business Mailing Address:
SUITE #100
Provider Business Mailing Address City Name:
CYPRESS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77429-4093
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-374-7457
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13215 GRANT RD
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
CYPRESS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77429-4093
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-374-7457
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/19/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0200X , with the licence number:  AP129331 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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