Kristin Carter Campbell, CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · Bee Cave, TX
NPI 1164548673 · NPPES record last updated Aug 25, 2024
Key facts
- NPI
- 1164548673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- AP125831 (TX)
- Practice address
- 15801 W Hwy 71 Ste 100
Bee Cave, TX 78738-2703 - Phone
- (512) 676-2500
- Fax
- (512) 406-7377
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240912001127 | TX | Practitioner - Nurse Practitioner | 9234213521 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN867225 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Regional Clinic, PA | Pediatrics | Current |
Accepting new patients |
| Austin Regional Clinic, PA | Current |
Accepting new patients |
Locations
6210 E Highway 290
Ste 240
Austin, TX 78723
6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210
6210 E Highway 290
Austin, TX 78723
15801 W State Highway 71
Ste 100
Bee Cave, TX 78738
Phone (512) 676-2500
151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244
940 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 244-9024
Interoperability endpoints
- kcampbell34405@arcmd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN867225 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | AP125831 | TX | Yes |
Addresses
Primary practice location
15801 W Hwy 71 Ste 100
Bee Cave, TX 78738-2703
Mailing address
6210 E Hwy 290
Austin, TX 78723-1142
Other practice location 1
12600 Hill Country Blvd Bldg R-103
Austin, TX 78738-6891
Phone (512) 358-8180
Other names
- Ms. Kristin Elizabeth Carter
Other providers in Bee Cave, TX
- Ashley Bowser
- Jessica Brooks Santana
- Alison Marie Brooks
- Bryce Samuel Industries, LLC
- Natalie Cameron
- Matthew Cao
- Caresola Medical Services PA
- Tamara Dawn Carpenter
- Carus Dental PC
- Andrew P. Cassidy
All providers in Bee Cave, TX · Pediatric Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.