Individual provider Active NPI

Kristiana Crosthwait

  • Nurse Practitioner
  • Belton, TX
National Provider Identifier
1093422248
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1097773 Issued in TX
Practice address
900 College St
Belton, TX 76513-2578
Phone
(254) 295-8642
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1097773 TX Primary

Addresses

Primary practice location

900 College St
Belton, TX 76513-2578

Mailing address

6029 Fair Hill Dr
Temple, TX 76502-1981

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
I20231218002673 TX Practitioner - Nurse Practitioner 8325497282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

104 S Main St
Keller, TX 76248-5003
Phone (214) 295-9385

1218 W McDermott Dr
Allen, TX 75013-6304
Phone (972) 390-9000

2221 Abrams Rd
Dallas, TX 75214-3620
Phone (972) 674-8510

2310 W University Dr
Suite 1500
Denton, TX 76201-1650
Phone (940) 220-5901

2851 W Interstate Hwy 635
Irving, TX 75063-3144
Phone (214) 496-0820

3520 NW Centre Dr
Fort Worth, TX 76135-3612
Phone (817) 375-2100

377 W Campbell Rd
Suite 100
Richardson, TX 75080-3695
Phone (469) 232-2945

4530 W University Dr
Prosper, TX 75078-9090
Phone (469) 607-7504

8450 E Fwy
Fort Worth, TX 76120-4413
Phone (817) 459-2005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Physicians, PLLC CurrentSince Nov 27, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

377 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (469) 232-2945

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": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1093422248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 FAIR HILL DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COLLEGE ST",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132578",
            "telephone_number": "254-295-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSTHWAIT",
        "first_name": "KRISTIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1097773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

Verify at the official NPI Registry.