Individual provider Active NPI

Kristina Lynn Creech, APRN

  • Acute Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1629528864
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP132174 Issued in TX
Practice address
911 Medical Centre Dr Ste C
Arlington, TX 76012-4758
Phone
(817) 461-0201
Fax
(817) 861-3365
NPI assigned
Oct 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP132174 TX
Critical Care Medicine Nurse Practitioner 363LC0200X AP132174 TX
Acute Care Nurse Practitioner 363LA2100X AP132174 TX Primary

Addresses

Primary practice location

911 Medical Centre Dr Ste C
Arlington, TX 76012-4758

Mailing address

601 Omega Dr Ste 208
Arlington, TX 76014-2075
Phone (817) 465-5881

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
I20161117000075 TX Practitioner - Nurse Practitioner 7618256504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

Hospital & facility affiliations

  • Parkland Health & Hospital System Hospital, Dallas, TX, CCN 450015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP132174TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tarrant Pulmonary Associates LLC CurrentSince Nov 1, 2022 Accepting new patients
Dallas County Hospital District Nurse Practitioner Current Accepting new patients
Dallas County Hospital District Nurse Practitioner CurrentSince Aug 23, 2023 Accepting new patients
Dallas County Hospital District Nurse Practitioner CurrentSince Aug 23, 2023 Accepting new patients
Dallas County Hospital District Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

601 Omega Dr
Ste 208
Arlington, TX 76014
Phone (817) 465-5881

5184 Tex Oak Ave
#4
Dallas, TX 75235

5184 Tex Oak Ave
Dallas, TX 75235
Phone (214) 590-6120

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

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

Organizations & group practices 6

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 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1629528864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OMEGA DR STE 208",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142075",
            "telephone_number": "817-465-5881",
            "fax_number": "817-465-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MEDICAL CENTRE DR STE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124758",
            "telephone_number": "817-461-0201",
            "fax_number": "817-861-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREECH",
        "first_name": "KRISTINA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132174",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "AP132174",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP132174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.