Provider Demographics
NPI:1659484434
Name:BATEY, KRISTY ANNE (GNP-C, ANP-C)
Entity type:Individual
Prefix:MS
First Name:KRISTY
Middle Name:ANNE
Last Name:BATEY
Suffix:
Gender:F
Credentials:GNP-C, ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 BATEY RANCH RD
Mailing Address - Street 2:
Mailing Address - City:NIXON
Mailing Address - State:TX
Mailing Address - Zip Code:78140
Mailing Address - Country:US
Mailing Address - Phone:830-424-3045
Mailing Address - Fax:
Practice Address - Street 1:209 S CHURCH ST STE B
Practice Address - Street 2:
Practice Address - City:LOCKHART
Practice Address - State:TX
Practice Address - Zip Code:78644-2756
Practice Address - Country:US
Practice Address - Phone:512-376-2999
Practice Address - Fax:512-376-5562
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134622363LG0600X
TNAPN0000010671363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN33466772Medicare PIN
TN33466771Medicare PIN