Kristi Nealy, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA03940 Issued in TX

Practice address

705 E Marshall Ave Ste 3000
Longview, TX 75601-5661

Phone

(903) 758-2610

Fax

(903) 758-7081

NPI assigned

Jul 11, 2005

Last updated

Apr 26, 2024By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: knealy@shrft.gwaydirect.com
• Direct secure messaging: knealy@whc.gwaydirect.com
• Direct secure messaging: kristinealy@wp.medalliesdirect.net

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.

• Premiere Pediatrics PLLC

  • Pediatrics Physician
  • Longview, TX
  • NPI 1124721410
  Medicare reassignment NPD
• Ariadna L. Bory D.O. PA

  • Family Medicine Physician
  • Longview, TX
  • NPI 1902911365
  NPD (past)
• Larry W Huffman MD

  dba The Family Healthcare Center

  • Family Medicine Physician
  • Longview, TX
  • NPI 1427056936
  NPD (past)
• Longview Wellness Center Inc

  dba Wellness Pointe

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1447910542
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1386642734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015602",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE STE 3000",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015661",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015602",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEALY",
        "first_name": "KRISTI",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Funwie Calvin Nchibnjong, PHARMD
• Olivia Joelle Ndoutoume, DDS
• Tagbo Charles Nduka, M.D.
• Elaine Neagle, LCDC
• Savanna L Neal, LCDC
• Nec Longview Emergency Center, LP
• Diana Neely, PT
• Richard Neely
• Vanessa Renee Neiman, M.D.
• Carolyn Nelson, CNA,CMT, CMI, CASL

• Medical Physician Assistant in Longview, TX
• Providers in Longview, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.

Verify at the official NPI Registry.