Individual provider Active NPI

Kris K Colston, APRN

  • Adult Health Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1417414269
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP140797 Issued in TX
Practice address
920 Medical Plaza Dr Ste 300
Shenandoah, TX 77380-3256
Phone
(281) 296-0788
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP140797 TX
Primary Care Nurse Practitioner 363LP2300X AP140797 TX
Adult Health Nurse Practitioner 363LA2200X AP140797 TX Primary

Addresses

Primary practice location

920 Medical Plaza Dr Ste 300
Shenandoah, TX 77380-3256

Mailing address

17930 Moss Point Dr
Spring, TX 77379-7835
Phone (713) 933-5567

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
I20190522000750 TX Practitioner - Nurse Practitioner 8426391061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Rhythm Associates, P.a.Group PAC ID 4284725839, 7 clinicians

Practice addresses (Care Compare)

920 Medical Plaza Dr
Suite 300
Shenandoah, TX 77380-3256
Phone (281) 825-1866

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140797TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Rhythm Associates, PA CurrentSince Apr 1, 2019 Accepting new patients

Locations

920 Medical Plaza Dr
Ste 300
Shenandoah, TX 77380
Phone (281) 296-0788

13624 Michel Rd
#101
Tomball, TX 77375
Phone (281) 970-8484

Interoperability endpoints

  • Direct secure messaging: kris.colston@hras.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1417414269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17930 MOSS POINT DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797835",
            "telephone_number": "713-933-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR STE 300",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803256",
            "telephone_number": "281-296-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLSTON",
        "first_name": "KRIS",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP140797",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP140797",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP140797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.