Kristin Nicole O'Banion, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1094705 Issued in TX

Practice address

2202 Ithaca Ave
Lubbock, TX 79410-1332

Phone

(806) 797-1202

Fax

(806) 797-4854

NPI assigned

Sep 19, 2022

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of West Texas, LLPGroup PAC ID 7911048632, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Dermatology Associates of West Texas, LLP

  • Dermatology Physician
  • Lubbock, TX
  • NPI 1679704530
  Medicare reassignment Care Compare group
• Lubbock County Hospital District

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1508855578
  NPD (past)
• Paulger Dermatology and Skin Cancer Center, PA

  • Dermatopathology Physician
  • Lubbock, TX
  • NPI 1316010994
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1689397366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 ITHACA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101332",
            "telephone_number": "806-797-1202",
            "fax_number": "806-797-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 ITHACA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101332",
            "telephone_number": "806-797-1202",
            "fax_number": "806-797-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BANION",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1094705",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1094705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Nwabugwu, RPH
• Kemnasom Nwanwene
• Danelle Lynne Nymeyer, DO
• Lincoln Nymeyer, MD
• Carl Scott O'Banion, PHARMD, BCNSP
• Ethan Bernard O'Boyle, DO
• Brandee Denise O'Brian, RN
• Justin Marshall O'Brien, MD
• John O'Connor Jr.
• Renee O'Dell, PTA

• Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.