Individual provider Active NPI

Kristi Rene Dodson-Conner, FNP-BC

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1184407165
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1135857 Issued in TX
Practice address
4002 Burke Rd # 100
Pasadena, TX 77504-3451
Phone
(281) 741-2982
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 984604 TX
Family Nurse Practitioner 363LF0000X 1135857 TX Primary

Addresses

Primary practice location

4002 Burke Rd # 100
Pasadena, TX 77504-3451

Mailing address

6300 Seawall Blvd # 9201
Galveston, TX 77551-2219
Phone (254) 248-4185

Other names 1

  • Kristi Rene Dodson Other name

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
I20241126004437 TX Practitioner - Nurse Practitioner 1254866361 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Physician AssociatesGroup PAC ID 8022354638, 11 clinicians
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

4420 W Main St
League City, TX 77573-1737
Phone (832) 632-8803

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
984604TXMDGeneral Practice Registered Nurse
1135857TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Physician Associates CurrentSince Nov 20, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Jan 26, 2025 Accepting new patients
Brazos Medical Center Past Accepting new patients

Locations

3600 FM 1488 Rd
Ste 200
Conroe, TX 77384
Phone (832) 447-1367

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

6306 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (713) 732-4677

6302 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (832) 831-9094

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

4420 W Main St
League City, TX 77573
Phone (832) 632-1015

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 5

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1184407165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 SEAWALL BLVD # 9201",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775512219",
            "telephone_number": "254-248-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 BURKE RD # 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043451",
            "telephone_number": "281-741-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON-CONNER",
        "first_name": "KRISTI",
        "middle_name": "RENE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "984604",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1135857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "DODSON",
            "middle_name": "RENE",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.