Kristi King Householder, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11020460 Issued in FL

Practice address

10800 Panama City Beach Pkwy Ste 100
Panama City Beach, FL 32407-2532

Phone

(850) 249-3500

NPI assigned

Jun 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• Rainbow Pediatrics PC LLC

  • Pediatrics Physician
  • Panama City, FL
  • NPI 1134569049
  NPD (past)

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1326779489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 COUNTY LINE RD",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788008",
            "telephone_number": "850-401-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PANAMA CITY BEACH PKWY STE 100",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072532",
            "telephone_number": "850-249-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEHOLDER",
        "first_name": "KRISTI",
        "middle_name": "KING",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9502446",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Holloran
• Leigh A. Holloway
• Jo Ann M Holoka, MD
• Roderick Franklin Hook
• Hope House Psychological Services, LLC
• Jalisa Howard
• Michael Paul Howard, RPH
• Jennifer Ruth Howell-Wright, RBT
• Sommer Lyn Hoyt, BC-AGACNP, MSN, BSN,
• Atizaz Hussain

• Family Nurse Practitioner in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.