Individual provider Active NPI

Kristen Ashley Chou, DNP, FNP-BC

  • Nurse Practitioner
  • San Mateo, CA
National Provider Identifier
1083126064
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00925200 Issued in NJ
Practice address
951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560
Phone
(650) 285-6927
Fax
(888) 352-7383
NPI assigned
Oct 30, 2017
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00925200 NJ Primary
Nurse Practitioner 363L00000X AP134924 TX
Family Nurse Practitioner 363LF0000X F344867-01 NY
Family Nurse Practitioner 363LF0000X TPAN517 FL
Family Nurse Practitioner 363LF0000X AP61215475 WA
Family Nurse Practitioner 363LF0000X 25373 SC

Addresses

Primary practice location

951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560

Mailing address

2800 Wildplum Dr
Arlington, TX 76015-2029
Phone (214) 793-3826

Other practice location 1

211 E 7th St Ste 620
Austin, TX 78701-3218
Phone (650) 285-6927

Other practice location 2

300 Deschutes Way SW Ste 208
Tumwater, WA 98501-7719
Phone (650) 285-6927

Other practice location 3

80 State St
Albany, NY 12207-2541
Phone (650) 285-6927

Other practice location 4

1703 Laurel St
Columbia, SC 29201-2660
Phone (650) 285-6927

Other practice location 5

1201 Hays St
Tallahassee, FL 32301-2699
Phone (650) 285-6927

Other practice location 6

100 Charles Ewing Blvd Ste 160
Ewing, NJ 08628-3456
Phone (650) 285-6927

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
I20171127000957 TX Practitioner - Nurse Practitioner 7719244938 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Heart Care of Fort Worth, LLCGroup PAC ID 2860677341, 12 clinicians
Legacy Heartcare of Dallas, LLCGroup PAC ID 6305029653, 22 clinicians
Legacy Heart Care of Grand Prairie, LLCGroup PAC ID 9638549884, 6 clinicians

Practice addresses (Care Compare)

2500 W Fwy
Suite 200
Fort Worth, TX 76102-5851
Phone (817) 753-8973

4716 Dexter Dr
Suite 200
Plano, TX 75093-5562
Phone (972) 490-9500

4927 Lake Ridge Pkwy
Suite 145
Grand Prairie, TX 75052-3087
Phone (817) 423-4400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00925200NJMDNurse Practitioner
TPAN517FLMDFamily Nurse Practitioner
F344867-01NYMDFamily Nurse Practitioner
25373SCMDFamily Nurse Practitioner
AP61215475WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heartcare of Dallas, LLC CurrentSince Apr 25, 2023 Accepting new patients
Legacy Heart Care of Grand Prairie, LLC CurrentSince Apr 26, 2023 Accepting new patients
Legacy Heart Care of North Dallas, LLC CurrentSince Jul 9, 2023 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Apr 25, 2023 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince Apr 25, 2023 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince Apr 25, 2023 Accepting new patients
Legacy Heart Care of South Austin, LLC CurrentSince Apr 25, 2023 Accepting new patients
Legacy Heart Care of Midtown Austin, LLC CurrentSince Apr 25, 2023 Accepting new patients
Legacy Heart Care of Fort Worth, LLC CurrentSince Mar 24, 2023 Accepting new patients

Locations

7515 Greenville Ave
Ste 1010
Dallas, TX 75231
Phone (972) 838-7255

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

4927 Lake Ridge Pkwy
Ste 145
Grand Prairie, TX 75052
Phone (817) 423-4400

1180 Seton Pkwy
Ste 280
Kyle, TX 78640
Phone (817) 710-7644

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

7300 Eldorado Pkwy
Ste 105
McKinney, TX 75070
Phone (945) 200-6880

4716 Dexter Dr
Ste 200
Plano, TX 75093
Phone (817) 502-7027

7200 Wyoming Springs Dr
Ste 300
Round Rock, TX 78681
Phone (512) 419-1100

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

Interoperability endpoints

  • Direct secure messaging: kristen.chou@91098514915332.direct.elationemr.com

Organizations & group practices 9

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1083126064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WILDPLUM DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152029",
            "telephone_number": "214-793-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MARINERS ISLAND BLVD STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041560",
            "telephone_number": "650-285-6927",
            "fax_number": "888-352-7383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E 7th St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787013218",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Deschutes Way SW Ste 208",
            "address_purpose": "LOCATION",
            "city": "Tumwater",
            "state": "WA",
            "postal_code": "985017719",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 State St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122072541",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1703 Laurel St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012660",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Hays St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323012699",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Charles Ewing Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086283456",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOU",
        "first_name": "KRISTEN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00925200",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134924",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344867-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN517",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61215475",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.