Active NPI
Kristina Stang King, MD
- Student in an Organized Health Care Education/Training Program
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2200 Children'S Way
8232 Doctors' Office Tower (Dot)
Nashville, TN 37232-9225 - Phone
- (615) 936-2555
- Fax
- (615) 936-3601
- NPI assigned
- Feb 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Pediatrics Physician | 208000000X | U8363 | TX |
Addresses
Primary practice location
2200 Children'S Way
8232 Doctors' Office Tower (Dot)
Nashville, TN 37232-9225
Mailing address
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000
Other practice location 1
8233 N Sam Houston Pkwy E
Humble, TX 77396-2922
Phone (713) 442-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.childrenshospitalvanderbilt.org/locations/vanderbilt-childrens-primary-care | Direct |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U8363 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey-Seybold Medical Group, PLLC | Pediatrics | Current | Accepting new patients |
Locations
2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412
8233 N Sam Houston Pkwy E
Bldg A
Humble, TX 77396
8233 N Sam Houston Pkwy E
Humble, TX 77396
Phone (713) 442-2000
11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997
Interoperability endpoints
- kking84007@direct.kelsey-seybold.com
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1285267294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 SHADOW CREEK PKWY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847298",
"telephone_number": "713-442-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 CHILDREN'S WAY",
"address_2": "8232 DOCTORS' OFFICE TOWER (DOT)",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372329225",
"telephone_number": "615-936-2555",
"fax_number": "615-936-3601"
}
],
"practiceLocations": [
{
"address_1": "8233 N Sam Houston Pkwy E",
"address_purpose": "LOCATION",
"city": "Humble",
"state": "TX",
"postal_code": "773962922",
"country_code": "US",
"telephone_number": "713-442-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "KRISTINA",
"middle_name": "STANG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-18",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "U8363",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.childrenshospitalvanderbilt.org/locations/vanderbilt-childrens-primary-care",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2200 Children's Way",
"address_2": "8232 Doctors' Office Tower (DOT)",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372329225",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.