Provider Demographics
NPI:1336771419
Name:GASTON, KATIE (APRN, WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:
Last Name:GASTON
Suffix:
Gender:F
Credentials:APRN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W BARDIN RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-6000
Mailing Address - Country:US
Mailing Address - Phone:580-916-5827
Mailing Address - Fax:
Practice Address - Street 1:901 W BARDIN RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-6000
Practice Address - Country:US
Practice Address - Phone:817-583-8542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX839396163WW0101X
TX1003514207VX0000X, 363LW0102X
TN36398363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics