Active NPI
Kristin Meredick, M.D./M.B.A
- Pediatrics Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD2025-0373
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A149955 | CA | MD | Pediatrics Physician |
| MD2025-0373 | NM | MD | Pediatrics Physician |
| MD460271 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Inyo Associates | Current | Accepting new patients | |
| Northern Inyo Healthcare District | Current | Accepting new patients | |
| Northern Inyo Healthcare District | Current | Accepting new patients | |
| After Hours Pediatrics PC | Pediatrics | Past | 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.
-
- Clinic/Center
- Bishop, CA
- NPI 1649664848
-
- Medicare Defined Swing Bed Hospital Unit
- Bishop, CA
- NPI 1669798815
-
- Critical Access Hospital
- Bishop, CA
- NPI 1922198712
-
- Pediatrics Physician
- Albuquerque, NM
- NPI 1588730360
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.