Kristi's Community Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KRISTI'S COMMUNITY CARE PLLC

Practice address

151 Heritage Springs Dr
Bullard, TX 75757-0060

Phone

(430) 205-2024

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristi Smith, FNP-CNPI 1265776108

Title

FNP-C

Phone

(903) 705-2322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristi D Smith, FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1265776108
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1215505128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HINES XING",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757579519",
            "telephone_number": "903-705-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 HERITAGE SPRINGS DR",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757570060",
            "telephone_number": "430-205-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI'S COMMUNITY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "903-705-2322",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan C. Johnson, D.M.D
• Jorden Investments LLC
• Lindi Kessinger, OM
• Jennifer Marie King, PHYSICAL THERAPIST A
• Teresa F Knous
• April Lake, CCC-SLP
• Micaela McSheffery Lewis
• Richard Grant Lindley II, D.D.S.
• Lone Star Wellness Clinic PLLC
• Michelle Lowder, LPC

• Family Nurse Practitioner in Bullard, TX
• Providers in Bullard, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.