Individual provider Active NPI

Kristine Clements, APRN, FNP-BC

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1750750428
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129097 Issued in TX
Practice address
25528 Aldine Westfield Rd # 133
Spring, TX 77373-5951
Phone
(832) 647-2112
NPI assigned
Sep 23, 2015
Last updated
Feb 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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 AP129097 TX Primary

Addresses

Primary practice location

25528 Aldine Westfield Rd # 133
Spring, TX 77373-5951

Mailing address

25528 Aldine Westfield Rd # 133
Spring, TX 77373-5951
Phone (832) 647-2112

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
I20160122000123 TX Practitioner - Nurse Practitioner 9436469822 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP129097TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Medical Care PLLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

117 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 298-7441

150 Pine Forest Dr
Ste 802
Shenandoah, TX 77384
Phone (214) 906-0204

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1750750428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25528 ALDINE WESTFIELD RD # 133",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773735951",
            "telephone_number": "832-647-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25528 ALDINE WESTFIELD RD # 133",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773735951",
            "telephone_number": "832-647-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "KRISTINE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.