Individual provider Active NPI

Kristen Ann Brozo, FNP-C

  • Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1740821990
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP142662 Issued in TX
Practice address
4410 Dillon LN Ste 1
Corpus Christi, TX 78415-5333
Phone
(361) 857-0101
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP142662 TX Primary

Addresses

Primary practice location

4410 Dillon LN Ste 1
Corpus Christi, TX 78415-5333

Mailing address

4410 Dillon LN Ste 1
Corpus Christi, TX 78415-5333
Phone (361) 857-0101

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

LicenseStateTypeSpecialty
AP142662TXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1740821990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 DILLON LN STE 1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155333",
            "telephone_number": "361-857-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 DILLON LN STE 1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155333",
            "telephone_number": "361-857-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZO",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.