Individual provider Active NPI

Krislyn Boswell

  • Family Nurse Practitioner
  • League City, TX
National Provider Identifier
1255899399
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140867 Issued in TX
Practice address
2911 S Shore Blvd Ste 190
League City, TX 77573-3919
Phone
(281) 538-8188
Fax
(281) 538-8189
NPI assigned
Mar 7, 2019
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140867 TX Primary
Family Health Clinical Nurse Specialist 364SF0001X AP140867 TX

Addresses

Primary practice location

2911 S Shore Blvd Ste 190
League City, TX 77573-3919

Mailing address

204 Grand Creek Dr
League City, TX 77573-2061
Phone (806) 382-0350

Other practice location 1

215 W Blackstone Ln
Alvin, TX 77511-3407
Phone (281) 331-5253

Other practice location 2

500 N Kobayashi Ste F
Webster, TX 77598-4722
Phone (281) 724-1860

Other practice location 3

204 Grand Creek Dr
League City, TX 77573-2061
Phone (806) 382-0350

Other practice location 4

600 N Kobayashi Ste 309
Webster, TX 77598-4841
Phone (281) 724-8332

Other practice location 5

600 N Kobayashi Ste 110
Webster, TX 77598-4841
Phone (281) 338-1857

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
I20200415001709 TX Practitioner - Nurse Practitioner 7517397540 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Tree Health Clinic P a CurrentSince Aug 30, 2021 Accepting new patients
Kobayashi Diagnostics & Therapeutics PLLC Past Accepting new patients
CLS Health PLLC Past Accepting new patients
Cornelia L Agent MD PA PastSince Jun 1, 2012 Accepting new patients

Locations

2911 S Shore Blvd
Ste 190
League City, TX 77573
Phone (281) 538-8188

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1255899399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GRAND CREEK DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732061",
            "telephone_number": "806-382-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 S SHORE BLVD STE 190",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733919",
            "telephone_number": "281-538-8188",
            "fax_number": "281-538-8189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 W Blackstone Ln",
            "address_purpose": "LOCATION",
            "city": "Alvin",
            "state": "TX",
            "postal_code": "775113407",
            "country_code": "US",
            "telephone_number": "281-331-5253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Kobayashi Ste F",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984722",
            "country_code": "US",
            "telephone_number": "281-724-1860",
            "fax_number": "281-724-1861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Grand Creek Dr",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775732061",
            "country_code": "US",
            "telephone_number": "806-382-0350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Kobayashi Ste 309",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984841",
            "country_code": "US",
            "telephone_number": "281-724-8332",
            "fax_number": "832-905-5977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Kobayashi Ste 110",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984841",
            "country_code": "US",
            "telephone_number": "281-338-1857",
            "fax_number": "281-724-1957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "KRISLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140867",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "AP140867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.