Kristen Roslov, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1124376 Issued in TX

Practice address

1545 E Southlake Blvd Ste 140
Southlake, TX 76092-6464

Phone

(817) 332-7867

NPI assigned

Jul 14, 2023

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

Nurse Practitioner

Practice roles

Locations

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.

• Dr Ben Deheshi Orthopedics PLLC

  • Clinic/Center
  • Fort Worth, TX
  • NPI 1992263628
  Medicare reassignment NPD

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1467131698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 KILLDEER CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925802",
            "telephone_number": "479-431-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 E SOUTHLAKE BLVD STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926464",
            "telephone_number": "817-332-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSLOV",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1124376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lazaylia Rogers
• Diane Bentley Rollins, PH.D., R.D., L.D.
• Nancy Katherine Rollins, MD
• Jovanna Rosales
• Lauren Rosett, PT, DPT
• Jacoby Ross
• Samuel Foster Ross, SLPA, RBT
• Rebecca Rosso, OD
• David Rothbart, MD
• Rozanne Roux James, AUD

• Family Nurse Practitioner in Southlake, TX
• Providers in Southlake, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.