Kristina Annette Garrison, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP141856 Issued in TX

Practice address

6435 S FM 549 Ste 201
Heath, TX 75032-6225

Phone

(214) 771-3712

Fax

(214) 771-3796

NPI assigned

Mar 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kristina Annette Dickerson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• North Central Texas Community Health Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita Falls, TX
  • NPI 1255324141
  NPD (past)

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1326465766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MLK JR BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011152",
            "telephone_number": "940-397-2609",
            "fax_number": "940-264-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 S FM 549 STE 201",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750326225",
            "telephone_number": "214-771-3712",
            "fax_number": "214-771-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "KRISTINA",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP141856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "DICKERSON",
            "middle_name": "ANNETTE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rhonda Kay Emmons, D.D.S.
• Alan England, PHARMD
• Esperanza Y Bienestar Counseling & Wellness PLLC
• Aretha Lynn Fisher, PSY.D.
• Freeney Rehabilitative Career Service, LLC
• Elizabeth J. Gautreau, PSYD, LPC-S
• Rozen Gilerman, DO
• Felicia A Goins, LPC
• Vincent John Gonino, D.O.
• Haley Cochran Therapy PLLC

• Pediatric Nurse Practitioner in Heath, TX
• Providers in Heath, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.