Individual provider Active NPI

Kristina Nichole Hester, M.D.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1609133180
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101274088 Issued in VA
Practice address
5826 Palo Pinto Ave
Dallas, TX 75206-6830
Phone
(989) 225-2933
Fax
(989) 225-2933
NPI assigned
Apr 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q4979 TX
Emergency Medicine Physician 207P00000X 0101274088 VA Primary

Addresses

Primary practice location

5826 Palo Pinto Ave
Dallas, TX 75206-6830

Mailing address

5826 Palo Pinto Ave
Dallas, TX 75206-6830
Phone (989) 225-2933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191214000541 NC Practitioner - Emergency Medicine 7911201330 Reassigns benefits to 4 organizations
I20220304000015 VA Practitioner - Emergency Medicine 7911201330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Human Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kernersville Emergency Group, PLLCGroup PAC ID 3375885429, 53 clinicians

Practice addresses (Care Compare)

1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Phone (336) 564-4850

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kernersville Emergency Group, PLLC Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
Piedmont Triad Physicians, PLLC Emergency Medicine CurrentSince Jun 20, 2024 Accepting new patients
Brunswick Physician Partners, PLLC Emergency Medicine CurrentSince Jun 20, 2024 Accepting new patients
Tanglewood Park Physicians, PLLC Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
Emergency Physicians of Southern Virginia LLP Emergency Medicine CurrentSince Jan 29, 2022 Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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 1

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": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1609133180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 PALO PINTO AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066830",
            "telephone_number": "989-225-2933",
            "fax_number": "989-225-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 PALO PINTO AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066830",
            "telephone_number": "989-225-2933",
            "fax_number": "989-225-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTER",
        "first_name": "KRISTINA",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q4979",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101274088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.