NPIMap

Individual provider Active NPI

Kristi Lee West, PA-C

  • Physician Assistant
  • Southlake, TX
National Provider Identifier
1114215100
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07356 Issued in TX
Practice address
2727 E Southlake Blvd
Southlake, TX 76092-6613
Phone
(682) 885-6000
Fax
(682) 885-6026
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07356 TX Primary

Addresses

Primary practice location

2727 E Southlake Blvd
Southlake, TX 76092-6613

Mailing address

PO Box 99213
Fort Worth, TX 76199-0213
Phone (682) 885-4446

Other names 1

  • Kristi Lee Kahlden Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwest17789@CookChildrens.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000322 TX Practitioner - Physician Assistant 2860653771 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primamed Physicians, PLLCGroup PAC ID 9234027897, 62 clinicians

Practice addresses (Care Compare)

1001 N Interstate 35 E
Suite 430C
Desoto, TX 75115-4286
Phone (469) 765-1600

2205 N Tarrant Pkwy
Fort Worth, TX 76177-2204
Phone (817) 328-3320

3304 Alma Dr
Plano, TX 75023-7333
Phone (972) 424-6581

4401 Little Rd
Suite 520
Arlington, TX 76016-5621
Phone (682) 318-3114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primamed Physicians PLLC CurrentSince Dec 23, 2024 Accepting new patients
Cook Children'S Physician Network CurrentSince May 15, 2017 Accepting new patients
Reclaim Physicians Medical Group Inc Past Accepting new patients
Fastpass Ucdfw, PLLC Past Accepting new patients
Paul Phillips III, M.D., P.a. Past Accepting new patients
Citimed, P.a. Past Accepting new patients

Locations

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

6316 Precinct Line Rd
Hurst, TX 76054
Phone (817) 605-2500

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

2727 E Southlake Blvd
Southlake, TX 76092
Phone (682) 885-6000

Interoperability endpoints

  • Direct secure messaging: kristi.westpac.p11@direct.nextcare.nextgenshare.com
  • Direct secure messaging: kwest17789@cookchildrens.direct-ci.com

Organizations & group practices 12

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1114215100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990213",
            "telephone_number": "682-885-4446",
            "fax_number": "817-810-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 E SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926613",
            "telephone_number": "682-885-6000",
            "fax_number": "682-885-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "KRISTI",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwest17789@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "2727 E Southlake Blvd",
            "city": "Southlake",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760926613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "KAHLDEN",
            "middle_name": "LEE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.