Individual provider Active NPI

Kristel Britt Holmblad, MD, MPH

  • Pediatric Pulmonology Physician
  • Jackson, MS
National Provider Identifier
1104052661
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
E-15254 Issued in AR
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 984-1000
Fax
(601) 815-1050
NPI assigned
Jun 10, 2009
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X MD450033 PA
Pediatrics Physician 208000000X MD450033 PA
Pediatric Pulmonology Physician 2080P0214X E-15254 AR Primary
Pediatric Pulmonology Physician 2080P0214X A145173 CA
Pediatric Pulmonology Physician 2080P0214X 36289 MS
Family Medicine Physician 207Q00000X TD60599824 WA

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-1000

Other identifiers 3

IdentifierTypeStateIssuer
P01683022OtherWARR PTAN WVH
1104052661MedicaidWA
1104052661MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AR, MS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161101001466 CA Practitioner - Pediatric Medicine 1355659517 Reassigns benefits to 1 organization
I20220606000175 AR Practitioner - Pediatric Medicine 1355659517 Reassigns benefits to 3 organizations
I20260406003428 MS Practitioner - Pediatric Medicine 1355659517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

504 Clinton Ctr Dr
Suite 4300
Clinton, MS 39056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
145173CAMDMarriage & Family Therapist
E-15254ARMDPediatric Pulmonology Physician
A145173CAMDPediatric Pulmonology Physician
36289MSMDPediatric Pulmonology Physician
MD450033PAMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Mar 31, 2022 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 31, 2022 Accepting new patients
University of Arkansas for Medical Sciences Pediatrics Current Accepting new patients
Valley Children's Medical Group Pediatrics CurrentSince Oct 1, 2016 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 31, 2022 Accepting new patients
Arkansas Children's Hospital CurrentSince Mar 31, 2022 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Current Accepting new patients
Arkansas Childrens Hospital Pediatrics CurrentSince Mar 31, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients
Arkansas Childrens Northwest, Inc. Past Accepting new patients

Locations

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

2601 Gene George Blvd
Springdale, AR 72762
Phone (479) 725-6800

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

3525 Pelandale Ave
Modesto, CA 95356
Phone (209) 572-3880

Interoperability endpoints

  • FHIR API: https://epicproxy.et1036.epichosted.com/APIProxyPRD/AC/api/FHIR/R4

Organizations & group practices 10

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1104052661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-1000",
            "fax_number": "601-815-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-1000",
            "fax_number": "601-815-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMBLAD",
        "first_name": "KRISTEL",
        "middle_name": "BRITT",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "PA",
            "license": "MD450033",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD450033",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "AR",
            "license": "E-15254",
            "primary": true
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "CA",
            "license": "A145173",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "MS",
            "license": "36289",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "TD60599824",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN WVH",
            "identifier": "P01683022",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104052661",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104052661",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.