Individual provider Active NPI

Kristin Diane Lucio, FNP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1639609167
Registry record updated Jun 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134116 Issued in TX
Practice address
3825 Spid Dr
Corpus Christi, TX 78415-2913
Phone
(361) 225-0089
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134116 TX Primary

Addresses

Primary practice location

3825 Spid Dr
Corpus Christi, TX 78415-2913

Mailing address

3825 Spid Dr
Corpus Christi, TX 78415-2913
Phone (361) 225-0089

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
I20180328001958 TX Practitioner - Nurse Practitioner 8628330818 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nurse Practitioners Unlimited Healthcare Services, PLLCGroup PAC ID 1658765235, 4 clinicians
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

2802 S Staples St
Suite D
Corpus Christi, TX 78404-3615
Phone (361) 257-1909

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134116TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Emergency Medicine Associates, PA CurrentSince Sep 7, 2019 Accepting new patients
Corpus Christi Pain Medicine, P.a. CurrentSince Dec 19, 2018 Accepting new patients
Nurse Practitioners Unlimited Healthcare Services, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Conner Emergency Medicine Associates, PA CurrentSince Sep 7, 2019 Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

14933 S Padre Island Dr
Corpus Christi, TX 78418
Phone (361) 603-1541

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

3825 Spid Dr
Corpus Christi, TX 78415
Phone (361) 225-0089

2802 S Staples St
Ste D
Corpus Christi, TX 78404
Phone (361) 257-1909

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

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.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497744000000",
    "number": "1639609167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 SPID DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152913",
            "telephone_number": "361-225-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 SPID DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152913",
            "telephone_number": "361-225-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIO",
        "first_name": "KRISTIN",
        "middle_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.