Individual provider Active NPI

Kristi Whitenton, DO

  • Pediatrics Physician
  • Greenville, TX
National Provider Identifier
1063697472
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M7756 Issued in TX
Practice address
3005 Joe Ramsey Blvd E
Greenville, TX 75401-7714
Phone
(903) 455-4458
Fax
(903) 455-1604
NPI assigned
Jan 3, 2008
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M7756 TX Primary

Addresses

Primary practice location

3005 Joe Ramsey Blvd E
Greenville, TX 75401-7714

Mailing address

PO Box 1908
Greenville, TX 75403-1908
Phone (903) 455-4458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080306000301 TX Practitioner - Pediatric Medicine 2567547144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Service Agency, Inc.Group PAC ID 6305735150, shared by 7 NPIs, 26 clinicians

Practice addresses (Care Compare)

4311 Wesley St
Greenville, TX 75401-5639
Phone (903) 455-5958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
M7756TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Pediatrics CurrentSince Jan 4, 2026 Accepting new patients
Community Health Service Agency, Inc. CurrentSince Apr 5, 2021 Accepting new patients
Dallas County Hospital District CurrentSince Jan 4, 2026 Accepting new patients
Community Health Service Agency, Inc. Current Accepting new patients
Community Health Service Agency, Inc. Pediatrics CurrentSince Apr 5, 2021 Accepting new patients
Community Health Service Agency, Inc. Past Accepting new patients
Little Spurs Pediatric Urgent Care, PLLC Pediatrics Past Accepting new patients

Locations

91 W Side Sq
Cooper, TX 75432
Phone (903) 395-0586

3005 Joe Ramsey Blvd E
Ste A
Greenville, TX 75401
Phone (903) 454-1886

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

2600 Commerce Way
Kaufman, TX 75142
Phone (972) 750-3177

Interoperability endpoints

  • Direct secure messaging: kristi.whitenton.p4@direct.chsa.nextgenshare.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1063697472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754031908",
            "telephone_number": "903-455-4458",
            "fax_number": "034-551-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017714",
            "telephone_number": "903-455-4458",
            "fax_number": "903-455-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITENTON",
        "first_name": "KRISTI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M7756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.