Individual provider Active NPI

Christine Elizabeth Kremer, RN, NP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1073814901
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
644706 Issued in TX
Practice address
4107 Spicewood Springs Rd Ste 100
Austin, TX 78759-8645
Phone
(512) 397-3360
Fax
(512) 343-7107
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 644706 TX Primary

Addresses

Primary practice location

4107 Spicewood Springs Rd Ste 100
Austin, TX 78759-8645

Mailing address

4107 Spicewood Springs Rd Ste 100
Austin, TX 78759-8645
Phone (512) 397-3360

Other identifiers 2

IdentifierTypeStateIssuer
1073814901MedicaidTX
302601455MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
644706TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Austin PastSince Sep 9, 2013 Accepting new patients

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": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1073814901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 SPICEWOOD SPRINGS RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598645",
            "telephone_number": "512-397-3360",
            "fax_number": "512-343-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 SPICEWOOD SPRINGS RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598645",
            "telephone_number": "512-397-3360",
            "fax_number": "512-343-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMER",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "credential": "RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "644706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073814901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302601455",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.