Kristy Dawn Carroll, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP114747 Issued in TX

Practice address

179 Ih 45 S Ste 300
Huntsville, TX 77340-4223

Phone

(936) 294-0152

Fax

(832) 559-8584

NPI assigned

Oct 3, 2006

Last updated

Feb 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PCP for Life PAGroup PAC ID 7911193412, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ABHJAA

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.

• PCP for Life PA

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1497071955
  Medicare reassignment Care Compare group NPD
• Burhani Surgical LTD PLLC

  dba Lone Star Surgical Solutions

  • Surgery Physician
  • Houston, TX
  • NPI 1811520737
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Huntsville Community Hospital, Inc.

  dba Huntsville Memorial Hospital

  • General Acute Care Hospital
  • Huntsville, TX
  • NPI 1245878990
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1609960343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 IH 45 S STE 300",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404223",
            "telephone_number": "936-294-0152",
            "fax_number": "832-559-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 IH 45 S STE 300",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404223",
            "telephone_number": "936-294-0152",
            "fax_number": "832-559-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KRISTY",
        "middle_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "665834",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP114747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Cain, WHCNP
• Alyssa Ruth Campbell, MS, CCC-SLP
• Kiana Ellen Cano, PH.D.
• Carnivore Regen MD LLC
• Kelsey Carpentier
• Rhonda Castiglione
• Siria Marina Castro, MS, LPC, LCDC, ASOTP
• Marijo Cathey
• Elida Librada Cervantes, DPM
• Carolyn Chamblin, PTA

• Family Nurse Practitioner in Huntsville, TX
• Providers in Huntsville, 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 Feb 17, 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.
• 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.