Individual provider Active NPI

Kristen Lee Northern, RN, FNP-BC

  • Nurse Practitioner
  • Waco, TX
National Provider Identifier
1073812541
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP119284 Issued in TX
Practice address
1001 Hewitt Dr
Waco, TX 76712-8486
Phone
(254) 202-7800
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 701980 TX
Family Nurse Practitioner 363LF0000X 701980 TX
Nurse Practitioner 363L00000X AP119284 TX Primary

Addresses

Primary practice location

1001 Hewitt Dr
Waco, TX 76712-8486

Mailing address

PO Box 848476
Dallas, TX 75284-8476
Phone (254) 202-4655

Other names 1

  • Kristen Lee Jones Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kjones15884@direct.sw.org Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110607000828 TX Practitioner - Nurse Practitioner 8123205788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillcrest Family Health CenterGroup PAC ID 4183612278, 62 clinicians

Practice addresses (Care Compare)

1001 Hewitt Dr
Waco, TX 76712-8486
Phone (254) 202-7800

2201 Macarthur Dr
Waco, TX 76708-3161
Phone (254) 202-4360

2304 Marketplace Dr
Waco, TX 76711-2467
Phone (254) 202-7300

7300 Bosque Blvd
Waco, TX 76710-4023
Phone (254) 202-7700

851 N Loop
340 B S and W H Clinic Bellmead
Waco, TX 76705-2592
Phone (254) 202-7500

9821 China Spring Rd
Waco, TX 76708-4800
Phone (254) 202-7400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
701980TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc CurrentSince Jan 1, 2016 Accepting new patients
Hillcrest Family Health Center CurrentSince Apr 18, 2011 Accepting new patients
Soheil Hekmat, MD, Inc. Past Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500

100 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-2000

1001 Hewitt Dr
Woodway, TX 76712
Phone (254) 202-7800

Interoperability endpoints

  • Direct secure messaging: kjones15884@direct.sw.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1073812541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848476",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848476",
            "telephone_number": "254-202-4655",
            "fax_number": "254-202-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HEWITT DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128486",
            "telephone_number": "254-202-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHERN",
        "first_name": "KRISTEN",
        "middle_name": "LEE",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "701980",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "701980",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP119284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjones15884@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 Hewitt Dr",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767128486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "JONES",
            "middle_name": "LEE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.