Individual provider Active NPI

Kristin Meredick, M.D./M.B.A

  • Pediatrics Physician
  • Albuquerque, NM
National Provider Identifier
1255759304
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD2025-0373 Issued in NM
Practice address
5904 Holly Ave NE
Albuquerque, NM 87113-2472
Phone
(505) 298-2505
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A149955 CA
Pediatrics Physician 208000000X MD2025-0373 NM Primary
Pediatrics Physician 208000000X MD460271 PA

Addresses

Primary practice location

5904 Holly Ave NE
Albuquerque, NM 87113-2472

Mailing address

5904 Holly Ave NE
Albuquerque, NM 87113-2472
Phone (505) 298-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A149955CAMDPediatrics Physician
MD2025-0373NMMDPediatrics Physician
MD460271PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Inyo Associates CurrentSince Oct 30, 2017 Accepting new patients
Northern Inyo Healthcare District CurrentSince Oct 30, 2017 Accepting new patients
Northern Inyo Healthcare District Current Accepting new patients
After Hours Pediatrics PC Pediatrics PastSince Aug 3, 2025 Accepting new patients

Locations

152 Pioneer Ln
Ste H
Bishop, CA 93514
Phone (760) 873-6373

153 Pioneer Ln
Ste B
Bishop, CA 93514
Phone (760) 873-2602

150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136

152 Pioneer Ln
Ste 5
Bishop, CA 93514
Phone (760) 873-6373

301 N Fowler St
Bishop, CA 93514
Phone (760) 872-3680

152 Pioneer Ln
Ste F
Bishop, CA 93514
Phone (760) 872-1606

Organizations & group practices 4

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1255759304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 HOLLY AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132472",
            "telephone_number": "505-298-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 HOLLY AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132472",
            "telephone_number": "505-298-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDICK",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "M.D./M.B.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A149955",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2025-0373",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD460271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.