Kristina Glass, APRN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1024733 Issued in TX

Practice address

1888 Boiling Springs Rd
Boiling Springs, SC 29316-5124

Phone

(864) 599-0920

NPI assigned

Jan 26, 2020

Last updated

Mar 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Openloop Healthcare Partners PCGroup PAC ID 2668871898, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/30724/brand/1/csg/1/fhir/r4

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.

• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  Single Specialty, TX

  Medicare reassignment Care Compare group NPD
• Family Medicine of East Texas, PA

  • Family Medicine Physician
  • Lufkin, TX
  • NPI 1285071977

  Single Specialty

  Medicare reassignment NPD
• Albany ENT & Allergy Services PC

  • Otolaryngology Physician
  • Albany, NY
  • NPI 1205838729

  Single Specialty

  NPD (past)
• Catalyst Physician Group - Etx PLLC

  • Family Medicine Physician
  • Plano, TX
  • NPI 1316703614

  Single Specialty

  NPD (past)
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Openloop Healthcare Partners California PC

  • General Practice Physician
  • Palm Desert, CA
  • NPI 1659042331

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1548890874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GENE SAMFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043358",
            "telephone_number": "936-634-3396",
            "fax_number": "936-632-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 BOILING SPRINGS RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165124",
            "telephone_number": "864-599-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "KRISTINA",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-26",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1024733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Gallman, RN, BSN, IBCLC
• Sabrona Ronai Gantt
• Channing Toney Garrett, PHARMD
• Irina Gazdovich, OPTICIAN
• Gregory L Gibson, M.D.
• Tierra Glover
• Golden Thread Therapy Services LLC
• Govinda LLC (Boiling Springs Pharmacy)
• Bryan Everett Green, D.M.D.
• Crystal Gayle Green, PHARMD

• Family Nurse Practitioner in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.