Individual provider Active NPI

Kristen Barbara Malone, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1669803797
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08722 Issued in TX
Practice address
5929 Balcones Dr Ste 200
Austin, TX 78731-4280
Phone
(512) 550-1800
Fax
(855) 828-0878
NPI assigned
Nov 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.0006512 CO
Physician Assistant 363A00000X PA08722 TX Primary

Addresses

Primary practice location

5929 Balcones Dr Ste 200
Austin, TX 78731-4280

Mailing address

5929 Balcones Dr
Ste 200
Austin, TX 78731-4280
Phone (512) 550-1800

Other practice location 1

1625 Medical Center Pt Ste 190
Colorado Springs, CO 80907-8721
Phone (719) 955-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140613002242 TX Practitioner - Physician Assistant 6800010844 Reassigns benefits to 1 organization
I20201125001553 CO Practitioner - Physician Assistant 6800010844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Sinus and Allergy Specialists of TexasGroup PAC ID 7315169596, 41 clinicians

Practice addresses (Care Compare)

115 N Loop 1604 E
1204 Texan Allergy
San Antonio, TX 78232-1399
Phone (512) 550-1800

5929 Balcones Dr
Suite 200
Austin, TX 78731-4216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
William Storms Allergy Clinic PC CurrentSince Aug 25, 2020 Accepting new patients
William Storms Allergy Clinic PC Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 190
Colorado Springs, CO 80907
Phone (719) 345-1047

5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856

Organizations & group practices 3

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": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1669803797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 BALCONES DR",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314280",
            "telephone_number": "512-550-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 BALCONES DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314280",
            "telephone_number": "512-550-1800",
            "fax_number": "855-828-0878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Medical Center Pt Ste 190",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809078721",
            "country_code": "US",
            "telephone_number": "719-955-6000",
            "fax_number": "855-828-0878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "KRISTEN",
        "middle_name": "BARBARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0006512",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.