Kristin Nicole Sodolak, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA08438 Issued in TX

Practice address

17521 St Lukes Way
Suite 190
The Woodlands, TX 77384-8039

Phone

(281) 719-5446

Fax

(936) 447-5444

NPI assigned

May 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Greg William Pearson, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1699779108
  Medicare reassignment
• Greg Willaim Pearson, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1114112158
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1104263474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17521 ST LUKES WAY",
            "address_2": "SUITE 190",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848039",
            "telephone_number": "281-719-5446",
            "fax_number": "936-447-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17521 ST LUKES WAY",
            "address_2": "SUITE 190",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848039",
            "telephone_number": "281-719-5446",
            "fax_number": "936-447-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODOLAK",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisia Snow, RBT
• Lashonda Snowden
• SNTF Home Care, LLC
• Soap Notes,PLLC
• Elizabeth Soares, P.T.
• Sodzo, Inc.
• Ifeolumipo O Sofola, MD
• Stavros Jacques Sofos, DDS, MS
• Soh of Texas Specialty Services PLLC
• Solasage Nutrition and Diabetes LLC

• Medical Physician Assistant in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.