Active NPI
Kristie Tso, MD
- Pediatrics Physician
- Goldsboro, NC
National Provider Identifier
1578205902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2025-01963
- Practice address
- 2706 Medical Office PL
Goldsboro, NC 27534-9462 - Phone
- (919) 734-4736
- NPI assigned
- Apr 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2025-01963 | NC | Primary |
Addresses
Primary practice location
2706 Medical Office PL
Goldsboro, NC 27534-9462
Mailing address
2706 Medical Office PL
Goldsboro, NC 27534-9462
Phone (919) 734-4736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220712001929 | AR | Order and Referring Only - Pediatric Medicine | 5890175558 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-01963 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldsboro Pediatrics PA | Single Specialty | Past | Accepting new patients |
| Goldsboro Pediatrics PA | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- ktso@goldsboropeds.medentdirect.com
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1578205902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349462",
"telephone_number": "919-734-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349462",
"telephone_number": "919-734-4736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSO",
"first_name": "KRISTIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NC",
"license": "2025-01963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.