Individual provider Active NPI

Kristan Lea Bannister, FNP-BC, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1093339178
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1009201 Issued in TX
Practice address
8929 Viscount Blvd Ste LLB
El Paso, TX 79925-5827
Phone
(915) 202-4463
Fax
(915) 289-2104
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1009201 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1009201 TX Primary

Addresses

Primary practice location

8929 Viscount Blvd Ste LLB
El Paso, TX 79925-5827

Mailing address

8929 Viscount Blvd Ste LL-B
El Paso, TX 79925-5827
Phone (915) 344-7165

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
I20200827002132 TX Practitioner - Nurse Practitioner 0345667945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8929 Viscount Blvd
Suite LLB
El Paso, TX 79925-5827
Phone (915) 289-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychcare of San Antonio I, PLLC Family CurrentSince Jul 29, 2024 Accepting new patients
El Paso Family Medicine and Mental Health Clinic PLLC CurrentSince Sep 1, 2024 Accepting new patients
Senior Psychcare of New Mexico, LLC Family CurrentSince Jul 29, 2024 Accepting new patients
Galmed Family Clinic PastSince Jan 1, 2025 Accepting new patients
Harmony Primary Care and Wellness Clinics PLLC PastSince Aug 1, 2020 Accepting new patients

Locations

1402 W Gilchrist Ave
Artesia, NM 88210
Phone (505) 746-9865

2029 Sagecrest Ave
Las Cruces, NM 88011
Phone (505) 522-7000

1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEGFDD/Endpoint/JEGFDD

Organizations & group practices 5

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1093339178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 VISCOUNT BLVD STE LL-B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255827",
            "telephone_number": "915-344-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 VISCOUNT BLVD STE LLB",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255827",
            "telephone_number": "915-202-4463",
            "fax_number": "915-289-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "KRISTAN",
        "middle_name": "LEA",
        "credential": "FNP-BC, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1009201",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1009201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.