Kristina McKinley Caballero, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA6103 Issued in MA

Practice address

7208 Meadow Lake Ave
Dallas, TX 75214-3526

Phone

(508) 737-7202

NPI assigned

Mar 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

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.

Merit-based Incentive Payment System (MIPS)

Final score

82.11 of 100Reported as group

Quality

67.48

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89.58 of 100Reported as group

Quality

79.01

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Questcare Medical Services, PLLC

  • Nurse Practitioner
  • Arlington, TX
  • NPI 1497807713

  Physician Assistant

  NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1205880036
  NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1396317079
  NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Littleton, CO
  • NPI 1730781691
  NPD
• Back to Health Chiropractic, PLLC

  • Chiropractor
  • Dallas, TX
  • NPI 1316269814
  NPD (past)
• Comprehensive Orthopaedics & Rehabilitation, P.a.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Richardson, TX
  • NPI 1669654398
  NPD (past)
• Dallas Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1457301756
  NPD (past)
• Excella Home Health Agency, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Ludlow, MA
  • NPI 1356642110
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1326361882",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "5200 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TEXAS",
            "postal_code": "75214",
            "telephone_number": "817-507-0794",
            "fax_number": "817-507-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 MEADOW LAKE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143526",
            "telephone_number": "508-737-7202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Gray Falls Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770776687",
            "country_code": "US",
            "telephone_number": "713-422-2920",
            "fax_number": "281-720-8809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 N Central Expy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750802701",
            "country_code": "US",
            "telephone_number": "214-377-1790",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "KRISTINA",
        "middle_name": "MCKINLEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06645",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6103",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06645",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA06645",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA06645",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C&a Pharmaceutical Enterprises, LLC
• C2 Texas Care LLC (Texas Care Love Feild)
• C3 Chiropractic PA (Active Care Chiropractic)
• C4 Health Group PLLC (Communion Collaborative)
• Daniel Aaron Caballero
• Anarys Ivette Caballes, PHARM.D.
• Joni Marie Cabaniss, P.T.
• Carson E Cabe
• Rachel Grace Cable
• Alberto V Cabo Chan Jr., MD

• Physician Assistant in Dallas, TX
• Providers in Dallas, 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 11, 2020; 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.