Kristine L Pruitt, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04402 Issued in TX

Practice address

317 N FM 1187
Aledo, TX 76008-4200

Phone

(817) 441-7181

Fax

(817) 441-7893

NPI assigned

Aug 2, 2006

Last updated

Aug 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kristine McHenry Former name

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGEFBD/Endpoint/HGEFBD

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.

• Gurpreet S. Bajaj, M.D., P.a.

  dba North Texas Bone and Joint

  • Specialist
  • Fort Worth, TX
  • NPI 1841402401
  Medicare reassignment
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1255348389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N FM 1187",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760084200",
            "telephone_number": "817-441-7181",
            "fax_number": "817-441-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N FM 1187",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760084200",
            "telephone_number": "817-441-7181",
            "fax_number": "817-441-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "KRISTINE",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184064701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "MCHENRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Physiologic, LLC
• Laura G Power, M.D.
• Powermill Performance, LLC
• Brent Richard Procter, D.C.
• Joseph Stephen Prosser, M.D.
• Skylar Marie Purvis, MOT/S
• Caryn Elisabeth Pyle, DO
• Iram Qureshi, DO
• Addison Ramsay
• Amy Elizabeth Rankin, OTR

• Physician Assistant in Aledo, TX
• Providers in Aledo, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.