Healthcare Provider Details

I. General information

NPI: 1336771419
Provider Name (Legal Business Name): KATIE GASTON APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W BARDIN RD
ARLINGTON TX
76017-6000
US

IV. Provider business mailing address

901 W BARDIN RD
ARLINGTON TX
76017-6000
US

V. Phone/Fax

Practice location:
  • Phone: 817-583-8542
  • Fax:
Mailing address:
  • Phone: 580-916-5827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number839396
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number1003514
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number36398
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1003514
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: