Individual provider Active NPI

Kristin Peterson-Senf, NP

  • Family Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1336816032
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1086583 Issued in TX
Practice address
6565 West Loop S Ste 525
Bellaire, TX 77401-3519
Phone
(713) 661-7888
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 774971 TX
Family Nurse Practitioner 363LF0000X 1086583 TX Primary

Addresses

Primary practice location

6565 West Loop S Ste 525
Bellaire, TX 77401-3519

Mailing address

6565 West Loop S Ste 525
Bellaire, TX 77401-3519
Phone (713) 661-7888

Other identifiers 2

IdentifierTypeStateIssuer
774941OtherTXRN LICENSE NUMBER
1086583OtherTXAPRN LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@CMA.directbygreenway.com

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
I20220929001174 TX Practitioner - Nurse Practitioner 2860878725 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
774971TXMDRegistered Nurse
1086583TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Contemporary Medicine Associates, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Promedix Health Inc CurrentSince Feb 1, 2026 Accepting new patients

Locations

6565 West Loop S
Ste 525
Bellaire, TX 77401
Phone (713) 661-7888

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

13916 Lexington Blvd
Sugar Land, TX 77478
Phone (281) 715-7110

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1336816032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 525",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013519",
            "telephone_number": "713-661-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 525",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013519",
            "telephone_number": "713-661-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON-SENF",
        "first_name": "KRISTIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "774971",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1086583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "774941",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NUMBER",
            "identifier": "1086583",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@CMA.directbygreenway.com",
            "affiliation": "N",
            "address_1": "6565 West Loop S Ste 525",
            "city": "Bellaire",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774013519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.