Individual provider Active NPI

Kristina Ann Evans, LCSW

  • Clinical Social Worker
  • Frisco, TX
National Provider Identifier
1053864090
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56977 Issued in TX
Practice address
5700 Dallas Pkwy
Frisco, TX 75034-9580
Phone
(469) 515-7100
Fax
(469) 515-7101
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 56977 TX
Clinical Social Worker 1041C0700X 56977 TX Primary

Addresses

Primary practice location

5700 Dallas Pkwy
Frisco, TX 75034-9580

Mailing address

2222 Welborn St
Dallas, TX 75219-3924
Phone (214) 559-5000

Other practice location 1

320 Westway Pl
Arlington, TX 76018-5245
Phone (817) 516-9100

Other practice location 2

2222 Welborn St
Dallas, TX 75219-3924
Phone (214) 559-5000

Other practice location 3

3800 Gaylord Pkwy Ste 850
Frisco, TX 75034-0248
Phone (469) 857-2222

Other names 1

  • Kristina Peltz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514001678 TX Practitioner - Clinical Social Worker 2062930027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56977TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Scottish Rite Hospital for Crippled Children CurrentSince Mar 24, 2025 Accepting new patients

Locations

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

5700 Dallas Pkwy
Frisco, TX 75034
Phone (469) 515-7100

3800 Gaylord Pkwy
Ste 850
Frisco, TX 75034
Phone (469) 857-2222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1053864090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WELBORN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193924",
            "telephone_number": "214-559-5000",
            "fax_number": "214-443-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 DALLAS PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349580",
            "telephone_number": "469-515-7100",
            "fax_number": "469-515-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Westway Pl",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760185245",
            "country_code": "US",
            "telephone_number": "817-516-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Welborn St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752193924",
            "country_code": "US",
            "telephone_number": "214-559-5000",
            "fax_number": "214-443-7309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Gaylord Pkwy Ste 850",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750340248",
            "country_code": "US",
            "telephone_number": "469-857-2222",
            "fax_number": "469-857-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KRISTINA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "56977",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "PELTZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.