Kristin Fullen

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

670351 Issued in TX

Practice address

2051 Greenhouse Rd Ste 120
Houston, TX 77084-7305

Phone

(281) 492-7676

Fax

(281) 492-8133

NPI assigned

May 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Katy Pediatric Associates

  • Pediatrics Physician
  • Houston, TX
  • NPI 1003091356
  NPD Authorized official

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1134531122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 GREENHOUSE RD STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847305",
            "telephone_number": "281-492-7676",
            "fax_number": "281-492-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 GREENHOUSE RD STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847305",
            "telephone_number": "281-492-7676",
            "fax_number": "281-492-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLEN",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "670351",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "670351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Hearts Hospice LLC (Choice hospice)
• Full Moon Physician, LLLP
• Full Potential: Behavior Intervention and Skills Development Services
• Debra D Full
• Amanda Nicole Fullbright, MS, BCBA
• Alexis Fuller
• Arian Fuller
• Clifton David Fuller, MD
• Clinton Lee Fuller
• Gayle Lynn Fuller, M.ED., LPC

• Pediatric Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.