Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim D Gustafson, NP

Individual provider Women's Health Nurse Practitioner · NPI 1164896056

Kim D Gustafson, NP is a Nurse Practitioner in Houston, Texas. Qualified in 2005, 21 years ago. Practices with Advanced Women's Wellness, PLLC, a 3-clinician group. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

18300 Katy Fwy Ste 315
Houston, TX 77094-1385
Phone: (713) 464-2100
Fax: (281) 392-7911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 620019 (TX)

Record details

NPI number1164896056
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 16, 2015
Last updated in NPPESNovember 16, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Advanced Women'S Wellness, Pllc — 3 clinicians
Accepts Medicare assignment Not indicated

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