Individual provider Active NPI

Kristina Marie Malnar, MS, APRN, FNP-C

  • Family Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1497360176
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143663 Issued in TX
Practice address
1222 Ellis Ave
Lufkin, TX 75904-3326
Phone
(936) 634-9233
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143663 TX Primary

Addresses

Primary practice location

1222 Ellis Ave
Lufkin, TX 75904-3326

Mailing address

PO Box 150638
Lufkin, TX 75915-0638
Phone (936) 634-9233

Other identifiers 1

IdentifierTypeStateIssuer
752676889MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sonias@thechildrenscliniclufkin.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
I20250829000095 TX Practitioner - Nurse Practitioner 0749781953

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3205 N University Dr
Suite E
Nacogdoches, TX 75965-2683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP143663TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Pediatrics PLLC PastSince Sep 13, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristina.malnar.1@18601.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1497360176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150638",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759150638",
            "telephone_number": "936-634-9233",
            "fax_number": "936-634-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043326",
            "telephone_number": "936-634-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALNAR",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "MS, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "752676889",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sonias@thechildrenscliniclufkin.com",
            "affiliation": "N",
            "address_1": "1222 Ellis Ave",
            "city": "Lufkin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759043326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.