Individual provider Active NPI

Kristen A Sosa, FNP-C

  • Family Nurse Practitioner
  • Alice, TX
National Provider Identifier
1144622333
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126433 Issued in TX
Practice address
230 S Gulf St
Alice, TX 78332-4310
Phone
(361) 664-0303
Fax
(866) 845-0933
NPI assigned
Sep 19, 2014
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126433 TX Primary

Addresses

Primary practice location

230 S Gulf St
Alice, TX 78332-4310

Mailing address

PO Box 850
Alice, TX 78333-0850
Phone (361) 664-0303

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
I20170125002354 TX Practitioner - Nurse Practitioner 4587946686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiemd TX Management LLCGroup PAC ID 3678928462, 20 clinicians

Practice addresses (Care Compare)

7000 N Mopac Expy
Suite 305
Austin, TX 78731-3261
Phone (877) 988-7420

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiemd Network LLC CurrentSince Jul 23, 2023 Accepting new patients
Indiemd TX Management LLC CurrentSince Jul 18, 2023 Accepting new patients
West Coast Wound and Skin Care Inc Past Accepting new patients

Locations

7000 N Mopac Expy
Ste 305
Austin, TX 78731
Phone (877) 988-7420

309 Water St
Ste 107
Boerne, TX 78006
Phone (469) 682-5827

309 Water St
Ste 108
Boerne, TX 78006
Phone (877) 988-7420

Organizations & group practices 3

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": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1144622333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783330850",
            "telephone_number": "361-664-0303",
            "fax_number": "866-845-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S GULF ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324310",
            "telephone_number": "361-664-0303",
            "fax_number": "866-845-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.