Active NPI
Briana Lauren Rey Kolstad, PC PNP
- Pediatric Nurse Practitioner
- El Paso, TX
National Provider Identifier
1649033416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 54491
- Practice address
- 7102 Westwind Dr
El Paso, TX 79912-1726 - Phone
- (915) 581-5100
- NPI assigned
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 54491 | NM | Primary |
Addresses
Primary practice location
7102 Westwind Dr
El Paso, TX 79912-1726
Mailing address
1078 Jade Hill Ave
Santa Teresa, NM 88008-9568
Phone (915) 996-7862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54491 | NM | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1649033416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1078 JADE HILL AVE",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880089568",
"telephone_number": "915-996-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7102 WESTWIND DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799121726",
"telephone_number": "915-581-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REY KOLSTAD",
"first_name": "BRIANA",
"middle_name": "LAUREN",
"credential": "PC PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-02",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NM",
"license": "54491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.